Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michael Eric Degryse, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386030930

Dr. Michael Eric Degryse, DO is a Student in an Organized Health Care Education/Training Program in Livonia, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2015
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

36475 Five Mile Rd
Livonia, MI 48154-1971
Phone: (734) 655-4800
Fax: (734) 655-8430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5101024461 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386030930
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 10, 2015
Last updated in NPPESJune 3, 2019

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