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1659885226
DEREK G. DESOUZA MD PLLC
LIVONIA, MI
NPI
1659885226
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Entity Type
Organization
Authorized Contact
IRENE MARTIN
Biller
734-674-2739
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301042922)
Enumeration Date
2017-11-19
Last Update Date
2017-11-19
Business Address
DEREK G. DESOUZA MD PLLC
36975 FIVE MILE RD
LIVONIA, MI 48154-1871
Phone number: 734-464-0600
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Mailing Address
DEREK G. DESOUZA MD PLLC
18576 SHADYSIDE ST
LIVONIA, MI 48152-3246
Phone number: 734-674-2739
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