Graham, Timothy Patrick
Graham, Timothy Patrick is an individual health care provider with primary practice located at 700 S Park St , Madison WI 53715-1830. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Graham, Timothy Patrick can be contacted via phone (608) 251-6100.Contact Information
Primary practice address
700 S Park St
Madison WI 53715-1830
Phone: (608) 251-6100
Fax: (608) 258-5222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 60659 | Wisconsin |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 60659 | Wisconsin |
Profile Details
| NPI number | 1982867347 |
|---|---|
| LBN Legal business name | Graham, Timothy Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2008 |
| Last updated | Nov 17th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982867347 | NPPES |
| Wisconsin | MEDICAID | 1982867347 |
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