Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derosa Plastic Surgery, PLLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1144618075

Derosa Plastic Surgery, PLLC is a Plastic and Reconstructive Surgery Physician in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2014.

Licensed in
MI
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22401 Foster Winter Dr
Southfield, MI 48075-3724
Phone: (248) 688-7597
Fax: (248) 498-6060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 5101017043 (MI)

Record details

NPI number1144618075
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Derosa — Owner · (248) 688-7597
NPI enumeratedDecember 30, 2014
Last updated in NPPESJune 22, 2015
Mailing address22401 Foster Winter Dr, Southfield, MI 48075-3724

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