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

Individual provider Internal Medicine Physician · NPI 1962409094

Pasquale B. Iaderosa, MD is an Internal Medicine in Mount Clemens, Michigan. Graduated from Wayne State University School of Medicine in 1982, 44 years ago. Practices with Henry Ford Physician Partners, a 79-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
44
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

133 S Main St Ste D
Mount Clemens, MI 48043-2308
Phone: (586) 468-1600
Fax: (586) 465-0329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301046401 (MI)

Record details

NPI number1962409094
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2005
Last updated in NPPESDecember 22, 2020
Certification dateDecember 22, 2020
Mailing address133 S Main St, Mount Clemens, MI 48043-2308

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1982 (44 years in practice)
Group practice Henry Ford Physician Partners — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mount Clemens