Gregory P. Derderian DO, PC
Gregory P. Derderian DO, PC provides Vascular Surgery Physician services in Clarkston, Michigan. Licensed in Michigan. Registered with an NPI since 2006.
- Licensed in
- MI
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6770 Dixie Hwy 106AClarkston, MI 48346-2087
Phone: (248) 922-9371
Fax: (586) 493-3828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Vascular Surgery Physician (primary) | Taxonomy 2086S0129X · Licence 5101007182 (MI) |
|---|
Record details
| NPI number | 1922108240 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gregory Derderian — Presideent · (586) 493-3175 |
| NPI enumerated | September 25, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 6770 Dixie Hwy, 106a, Clarkston, MI 48346-2087 |
Other providers in Clarkston
-
Vascular Surgery Assoc, PC
5701 Bow Pointe Dr Ste 2010, Clarkston, MI 48346-3198 · (248) 620-3900