Individual
DR. MICHAEL ERIC DEGRYSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
36475 FIVE MILE RD, LIVONIA, MI 48154-1971
(734) 655-4800
(734) 655-8430
Mailing address
9730 BUNTON RD, WILLIS, MI 48191-9625
(734) 732-0056
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101024461
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2015
Last updated
06/03/2019
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