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Gregory P. Derderian D.o., P.c.
Vascular Surgery Physician in Clarkston, Michigan
NPI 1922108240

Gregory P. Derderian D.o., P.c. is a Vascular Surgery Physician based in Clarkston, MI and is specialized in Vascular Surgery. Gregory P. Derderian D.o., P.c. practices in Clarkston, MI. The NPI Number for Gregory P. Derderian D.o., P.c. is 1922108240 and holds a License No. 5101007182 (Michigan).

The current practice location address for Gregory P. Derderian D.o., P.c. is 6770 Dixie Hwy, Clarkston, MI and can be reached out via phone at 248-922-9371 and via fax at 586-493-3828.

Location: 6770 Dixie Hwy, Clarkston, MI, 48346-2087
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922108240
Provider Name
Gregory P. Derderian D.o., P.c.
Credential
Provider Entity Type
Organization
Address
6770 Dixie Hwy, Clarkston, MI, 48346-2087
Phone Number
248-922-9371
Fax Number
586-493-3828
Provider Enumeration Date
09/25/2006
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
6770 Dixie Hwy
City
Clarkston
State
Michigan
Zip
48346-2087
Phone Number
248-922-9371
Fax Number
586-493-3828
person
Provider Business Mailing Address Details
Address
6770 Dixie Hwy
City
Clarkston
State
Michigan
Zip
48346-2087
Phone Number
248-922-9371
Fax Number
586-493-3828
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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