NPI 1023168481

Terry S Graves, MD

Practitioner Allergy & Immunology Physician Wauwatosa, WI

Practice location

Address: 2500 N Mayfair Rd Suite 220, Wauwatosa, WI 53226-1409
Phone: (414) 475-9101
Fax: (414) 475-9203
Mailing address: 8104 Brookside Pl, Wauwatosa, WI 53213-3318

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X

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Registry record

NPI: 1023168481
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.