Provider Demographics
NPI:1184740169
Name:DEGAYNER, ERIKA ELIZABETH (DO)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:ELIZABETH
Last Name:DEGAYNER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4680 MCLEOD DR E
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-2852
Mailing Address - Country:US
Mailing Address - Phone:989-791-9133
Mailing Address - Fax:989-791-9135
Practice Address - Street 1:4680 MCLEOD DR E
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-2852
Practice Address - Country:US
Practice Address - Phone:989-791-9133
Practice Address - Fax:989-791-9135
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101014389207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology