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Individual

MICHAEL SCOTT DEGRAAFF

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-1000
Mailing address
2006 FRANKLIN ST SE, STE 301, HUNTSVILLE, AL 35801-4551
(256) 539-9471
(256) 539-9472

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
00019932
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4035710
BCBS TN
TN
01
51031286
BCBS
AL
01
51523694
MADISON SURG CTR LOCATION
AL
Enumeration date
01/14/2006
Last updated
07/09/2007
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