Organization
DEBRA GRAETZ MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA GRAETZ MD (MEMBER/MANAGER)
(231) 922-0400
Entity
Organization
Contact information
Practice address
647 E EIGHTH ST, TRAVERSE CITY, MI 49686-2682
(231) 922-0400
Mailing address
647 E EIGHTH ST, TRAVERSE CITY, MI 49686-2682
(231) 922-0400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301084276
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000792798
AETNA
MI
01
—
0281106
BCBS OF MICHIGAN
MI
01
—
110052663001
BLUE CARE NETWORK OF MICH
MI
01
—
900043848
PRIORITY HEALTH
MI
Enumeration date
07/17/2007
Last updated
02/20/2015
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