Gregory P. Derderian D.O., P.C.

LBN: Gregory P. Derderian D.O., P.C.
Gregory P. Derderian D.O., P.C. is an health care organization with primary practice located at 6770 Dixie Hwy 106A, Clarkston MI 48346-2087. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Gregory P. Derderian D.O., P.C. can be contacted via phone (248) 922-9371, or through Derderian, Gregory P via phone (586) 493-3175.

Contact Information

Primary practice address
6770 Dixie Hwy 106A Clarkston MI 48346-2087
Phone: (248) 922-9371
Fax: (586) 493-3828
Website:
Map and Directions
Authorized official contact:
Name: Derderian, Gregory P Doctor of Medicine (MD)
Phone: (586) 493-3175

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 5101007182 Michigan

Profile Details

NPI number 1922108240
LBN Legal business name Gregory P. Derderian D.O., P.C.
DBA Doing business as
Authorized official Derderian, Gregory P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922108240 NPPES
Michigan MEDICAID 4406461

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