Individual
MICHAEL A DEGROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3409 LUDINGTON ST, SUITE 204, ESCANABA, MI 49829-4212
(906) 786-1356
(906) 789-4503
Mailing address
3409 LUDINGTON ST, SUITE 204, ESCANABA, MI 49829-4212
(906) 786-1356
(906) 789-4503
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
39721
WI
207V00000X
Obstetrics & Gynecology Physician
4301051444
MI
Other
Enumeration date
08/30/2006
Last updated
01/11/2011
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