DEREK S VERSALLE

PORTAGE, MI
NPI1669162616
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MI  5151016178)
Enumeration Date2023-05-12
Last Update Date2026-07-29
Business Address
DEREK S VERSALLE DO
950 TRADE CENTRE WAY
PORTAGE, MI 49002-0487
Phone number: 269-370-1824
Mailing Address
DEREK S VERSALLE DO
950 TRADE CENTRE WAY STE 230
PORTAGE, MI 49002-0492
Phone number:
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