Derstine, Harold S

Derstine, Harold S is an individual health care provider with primary practice located at 6071 W Outer Dr , Detroit MI 48235-2624. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Derstine, Harold S can be contacted via phone (313) 966-3300.

Contact Information

Primary practice address
6071 W Outer Dr Detroit MI 48235-2624
Phone: (313) 966-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301063998 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301063998 Michigan

Profile Details

NPI number 1871553404
LBN Legal business name Derstine, Harold S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jun 18th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871553404 NPPES
Michigan MEDICAID 103380191
Michigan Other HD063998

Popular Providers