Individual
SIERRA DEBENHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MICHIGAN AVENUE, GRAND RAPIDS, MI 49503
(616) 391-3426
Mailing address
1055 N CURTIS RD, BOISE, ID 83706-1309
(385) 355-5836
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301113372
MI
207P00000X
Emergency Medicine Physician
MD198668
OR
207P00000X
Emergency Medicine Physician
Primary
MD61368467
WA
Other
Enumeration date
07/03/2017
Last updated
12/29/2022
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