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NPI Code Detail

MEDICARE: DREW DEGENER

MEDICARE: DREW DEGENER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist5501302797MI

General Provider Information

NPI Number : 1265380372
Entity Type Code : Individual
Provider Name (Legal Business Name) : DREW DEGENER
Provider Business Mailing Address
First Line : 235 WEALTHY ST SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49503-5247
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 235 WEALTHY ST SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49503-5247
Country : US
Telephone Number : 616-840-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2026
Last Update Date : 03/17/2026

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Directions to “ DREW DEGENER ” Practice Location

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