Dersam, Michael D

Dersam, Michael D is an sole proprietor health care provider with primary practice located at 500 W. Thomas Road, Suite 850 , Phoenix AZ 85013. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Dersam, Michael D can be contacted via phone (602) 406-2669.

Contact Information

Primary practice address
500 W. Thomas Road, Suite 850 Phoenix AZ 85013
Phone: (602) 406-2669
Fax: (602) 406-8889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 30263 Arizona
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 30263 Arizona

Profile Details

NPI number 1477539302
LBN Legal business name Dersam, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2005
Last updated Jun 7th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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