Individual
DR. STEPHANE BERNARD DEGRAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4320 FIR ST STE 4141, EAST CHICAGO, IN 46312-3052
(219) 392-7466
(219) 392-7470
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01094316A
IN
2084P0800X
Psychiatry Physician
ME158905
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300093331
—
IN
Enumeration date
04/22/2019
Last updated
08/09/2024
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