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NPI Code Detail

MEDICARE: DR. WILLIAM JOHN GRAF DDS

MEDICARE: DR. WILLIAM JOHN GRAF DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist3696WI

General Provider Information

NPI Number : 1891861092
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM JOHN GRAF DDS
Provider Business Mailing Address
First Line : 18 CHESTERTON CIR
Second Line :
City : MADISON
State : WI
Zip : 53717-1082
Country : US
Telephone Number : 608-836-5850
Fax Number :
Provider Business Practice Location Address
First Line : 7780 ELMWOOD AVE
Second Line :
City : MIDDLETON
State : WI
Zip : 53562-5407
Country : US
Telephone Number : 608-836-1020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 07/08/2007

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