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DR. CHRISTOPHER KELLEY MCGRAW D.O.
Sports Medicine >> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1730178617
Individual Registrant:DR. CHRISTOPHER KELLEY MCGRAW D.O.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
600 MAIN AVE S BAUDETTE, MN 56623-2855 US
Tel: 218-634-1655 Fax: 218-634-1610
Tel: 218-634-1655 Fax: 218-634-1610
Contact information for business:
600 MAIN AVE S BAUDETTE, MN 56623-2855 US
Tel: 218-634-1655 Fax: 218-634-1610
Tel: 218-634-1655 Fax: 218-634-1610
Registration Information:
NPI: 1730178617
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207QS0010X | Allopathic & Osteopathic Physicians Family Medicine Sports Medicine | MN | 49335 |
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | MN | 49335 |
| N | 204D00000X | Allopathic & Osteopathic Physicians Neuromusculoskeletal Medicine & OMM | MN | 49335 |
| N | 207PE0004X | Allopathic & Osteopathic Physicians Emergency Medicine | MN | 49335 |
| N | 207QH0002X | Allopathic & Osteopathic Physicians Family Medicine | MN | 49335 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MN MEDICAL ASSISTANCE | 948198000 | MN | 01 |
