institution
Derosa Plastic Surgery, Pllc
Plastic and Reconstructive Surgery Physician in Southfield, Michigan
NPI 1144618075

Derosa Plastic Surgery, Pllc is a Plastic and Reconstructive Surgery Physician based in Southfield, MI and is specialized in Plastic and Reconstructive Surgery. Derosa Plastic Surgery, Pllc practices in Southfield, MI. The NPI Number for Derosa Plastic Surgery, Pllc is 1144618075 and holds a License No. 5101017043 (Michigan).

The current practice location address for Derosa Plastic Surgery, Pllc is 22401 Foster Winter Dr, Southfield, MI and can be reached out via phone at 248-688-7597 and via fax at 248-498-6060. You can also correspond with Derosa Plastic Surgery, Pllc through the mailing address at 22401 FOSTER WINTER DR, SOUTHFIELD, MI - 48075-3724 (mailing address contact number: 248-688-7597).

Location: 22401 Foster Winter Dr, Southfield, MI, 48075-3724
institution
Provider Profile Details
NPI Number
1144618075
Provider Name
Derosa Plastic Surgery, Pllc
Credential
Provider Entity Type
Organization
Address
22401 Foster Winter Dr, Southfield, MI, 48075-3724
Phone Number
248-688-7597
Fax Number
248-498-6060
Provider Enumeration Date
12/30/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7789986 05 MI
institution
Provider Business Practice Location Address Details
Address
22401 Foster Winter Dr
City
State
Zip
48075-3724
Phone Number
248-688-7597
Fax Number
248-498-6060
person
Provider Business Mailing Address Details
Address
22401 Foster Winter Dr
City
State
Zip
48075-3724
Phone Number
248-688-7597
Fax Number
248-498-6060
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
5101017043 (Michigan)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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