# DEBRA SUE DEGRAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1346331139
- **Gender:** F
- **Credential:** CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | 4704132616 | MI | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 02/02/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0876976 | BCBSM IND. PIN | MI |
| 01 | — | 0G01201 | MEDICARE GRP PIN | MI |
| 01 | — | 420G012010 | BCBSM GRP PIN | MI |
| 01 | — | DF4619 | MEDICARE RR GRP PIN | MI |