Degraw, Marcus E

Degraw, Marcus E is an individual health care provider with primary practice located at 22201 Moross Rd 270, Detroit MI 48236-2169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Degraw, Marcus E can be contacted via phone (313) 343-3481.

Contact Information

Primary practice address
22201 Moross Rd 270 Detroit MI 48236-2169
Phone: (313) 343-3481
Fax: (313) 343-7937
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301074121 Michigan

Profile Details

NPI number 1750375002
LBN Legal business name Degraw, Marcus E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Nov 29th, 2012 - about 12 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 1750375002 NPPES
Michigan MEDICAID 4517317

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