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Organization
DEGARA APP HM, PLLC
Active
Organization
DEGARA APP HM, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES SOMERBY (VP)
(615) 928-6264
Entity
Organization
Contact information
Practice address
401 W GREENLAWN AVE, LANSING, MI 48910-2819
(517) 975-6000
Mailing address
5121 MARYLAND WAY, SUITE 300, BRENTWOOD, TN 37027-7516
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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