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Gregory Derderian, D.O
NPI 1457355737 · on the registry since 2005
Practice
- Address
- 538 N Old Woodward Ave
Birmingham, MI 48009 - Phone
- (248) 594-3091
- Fax
- (248) 594-3068
- Organisation at this address
- Michigan Vascular Institute Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 2086S0129X
2086S0129X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-09-18
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