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1649251174
PETER KIRK DERUSSY
MIAMISBURG, OH
NPI
1649251174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OH 35 076115)
Enumeration Date
2005-11-10
Last Update Date
2021-02-01
Business Address
Dr. PETER KIRK DERUSSY MD
2115 LEITER RD
MIAMISBURG, OH 45342-3659
Phone number: 937-384-6800
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Mailing Address
Dr. PETER KIRK DERUSSY MD
6661 CLYO RD
CENTERVILLE, OH 45459-2702
Phone number: 937-425-4000
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