Basic Information
Provider Information
NPI: 1952798274
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GRAFF
FirstName: ZACHARY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9000 W WISCONSIN AVE
Address2:  
City: MILWAUKEE
State: WI
PostalCode: 532264874
CountryCode: US
TelephoneNumber: 4149554170
FaxNumber: 4149556543
Practice Location
Address1: 9000 W WISCONSIN AVE
Address2:  
City: MILWAUKEE
State: WI
PostalCode: 532264874
CountryCode: US
TelephoneNumber: 4149554170
FaxNumber: 4149556543
Other Information
ProviderEnumerationDate: 04/24/2015
LastUpdateDate: 07/29/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/29/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003X75598WIN Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
207RX0202X75598WIY Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology

No ID Information.


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