Dr. Terry S Graves
Allergist & Immunologist
2500 N Mayfair Rd Suite 220
Wauwatosa
, Wisconsin 53226-1409
Dr. Terry S Graves
Allergist & Immunologist
2500 N Mayfair Rd Suite 220
Wauwatosa
, Wisconsin 53226-1409
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Dr. Terry S Graves
- 8104 Brookside Pl
- Wauwatosa, WI
- Zip : 53213-3318
- Phone :
Second Address
- Dr. Terry S Graves
- 2500 N Mayfair Rd Suite 220
- Wauwatosa, WI
- Zip : 53226-1409
- Fax : (414) 475-9203
- Phone : (414) 475-9101
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | WI |
National Provider Identifier
| NPI | 1023168481 |
|---|---|
| Provider Name | Dr. Terry S Graves |
| First Address | Wauwatosa, WI 53213-3318 |
| Second Address | Wauwatosa, WI 53226-1409 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/01/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 30249900 | (05) | WI |
| B53202 | (02) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.