Graff, Michael George

Graff, Michael George is an individual health care provider with primary practice located at 2233 Hamline Ave N Suite 402, Roseville MN 55113-5009. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Graff, Michael George can be contacted via phone (651) 634-4082.

Contact Information

Primary practice address
2233 Hamline Ave N Suite 402 Roseville MN 55113-5009
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5415 Minnesota

Profile Details

NPI number 1871718932
LBN Legal business name Graff, Michael George
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871718932 NPPES
Minnesota MEDICAID 159255600

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