Search › Michigan › 101YA0400X
Derrick Depetro, BS, CADC
NPI 1568984995 · on the registry since 2017
Practice
- Address
- 104 Malton Rd
Negaunee, MI 49866 - Phone
- (906) 228-4692
- Fax
- (906) 228-2830
- Organisation at this address
- Great Lakes Recovery Centers
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 69
Additional practice sites
- 97 S 4th St Ste B, Ishpeming, MI
- 1009 W Ridge St, Marquette, MI
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-01
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