Individual
ERIC THOMAS DEGRAAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
820 N SAMUEL MOORE PKWY STE C, MOORESVILLE, IN 46158-1467
(317) 483-5080
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011387A
IN
Other
Enumeration date
08/25/2021
Last updated
09/15/2021
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