Individual
DR. MARCUS E DEGRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22201 MOROSS RD, 270, DETROIT, MI 48236-2169
(313) 343-3481
(313) 343-7937
Mailing address
22201 MOROSS RD, SUITE 270, DETROIT, MI 48236-2169
(313) 343-3481
(313) 343-7937
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301074121
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4517317
—
MI
Enumeration date
09/01/2005
Last updated
11/29/2012
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