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Gregory Paul Derderian, DO
Vascular Surgery Physician in Birmingham, Michigan
NPI 1457355737

Gregory Paul Derderian is a Vascular Surgery Physician based in Birmingham, MI and is specialized in Vascular Surgery. Gregory Paul Derderian practices in Birmingham, MI and has the professional credentials of DO. The NPI Number for Gregory Paul Derderian is 1457355737 and holds a License No. 5101007182 (Michigan).

The current practice location address for Gregory Paul Derderian is 538 N Old Woodward Ave, Birmingham, MI and can be reached out via phone at 248-594-3091 and via fax at 248-594-3068.

Location: 538 N Old Woodward Ave, Birmingham, MI, 48009-5375
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457355737
Provider Name
Gregory Paul Derderian
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
538 N Old Woodward Ave, Birmingham, MI, 48009-5375
Phone Number
248-594-3091
Fax Number
248-594-3068
Provider Enumeration Date
06/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4406461 05 MI
institution
Provider Business Practice Location Address Details
Address
538 N Old Woodward Ave
City
Birmingham
State
Michigan
Zip
48009-5375
Phone Number
248-594-3091
Fax Number
248-594-3068
person
Provider Business Mailing Address Details
Address
538 N Old Woodward Ave
City
Birmingham
State
Michigan
Zip
48009-5375
Phone Number
248-594-3091
Fax Number
248-594-3068
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
5101007182 (Michigan)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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