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1598199531
DEREK ROBERT SURO
ROYAL OAK, MI
NPI
1598199531
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601006751)
Enumeration Date
2013-08-27
Last Update Date
2013-08-27
Business Address
Mr. DEREK ROBERT SURO PA
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-5000
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Mailing Address
Mr. DEREK ROBERT SURO PA
6312 BRENDA DR
CASS CITY, MI 48726-1002
Phone number: 810-705-0353
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