DEREK ROBERT SURO

ROYAL OAK, MI
NPI1598199531
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006751)
Enumeration Date2013-08-27
Last Update Date2013-08-27
Business Address
Mr. DEREK ROBERT SURO PA
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-5000
Mailing Address
Mr. DEREK ROBERT SURO PA
6312 BRENDA DR
CASS CITY, MI 48726-1002
Phone number: 810-705-0353
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