MR. TROY GABRIEL GRAHAM PT
NPI 1962603464
Specialist in Owosso, MI

Active since May 30, 2007
200 HEALTH PARK DR, OWOSSO, MI 48867(989) 723-8666(989) 725-1434 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Specialist

About TROY GRAHAM

This page provides the complete NPI Profile along with additional information for Troy Graham, a provider established in Owosso, Michigan with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1962603464 assigned on May 2007. The practitioner's primary taxonomy code is 174400000X with license number 5501010120 (MI). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1962603464 Verify this NPI
Provider Name
MR. TROY GABRIEL GRAHAM PT
Gender
Male
Entity Type
Individual
Location Address
200 HEALTH PARK DR OWOSSO, MI 48867
Location Phone
(989) 723-8666
Location Fax
(989) 725-1434
Mailing Address
8380 ALWARD RD LAINGSBURG, MI 48848
Mailing Phone
(517) 651-6128
Is Sole Proprietor?
No
Enumeration Date
05-30-2007
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
5501010120
License State
MI
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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Physician Assistant
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Physician Assistant
200 HEALTH PARK DR
OWOSSO, MI 48867
Nurse Practitioner (Family)
200 HEALTH PARK DR
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Dermatology
200 HEALTH PARK DR
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Physician Assistant
200 HEALTH PARK DR
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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962603464, enumerated as an "individual" on May 30, 2007.

The provider is located at 200 HEALTH PARK DR OWOSSO, MI 48867 and the phone number is (989) 723-8666.

Specialist with taxonomy code 174400000X.