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Samuel Derossett
NPI 1295414126 · on the registry since 2023 · sole proprietor
Practice
- Address
- 37681 Sandstone Trl
New Haven, MI 48048 - Phone
- (618) 319-0945
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan