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1457355737
GREGORY PAUL DERDERIAN
BIRMINGHAM, MI
NPI
1457355737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: MI 5101007182)
Enumeration Date
2005-06-02
Last Update Date
2012-09-18
Business Address
-- GREGORY PAUL DERDERIAN D.O.
538 N OLD WOODWARD AVE
BIRMINGHAM, MI 48009-5375
Phone number: 248-594-3091
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Mailing Address
-- GREGORY PAUL DERDERIAN D.O.
538 N OLD WOODWARD AVE
BIRMINGHAM, MI 48009-5375
Phone number: 248-594-3091
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