MICHAEL DEREVENSKY

DETROIT, MI
NPI1740975689
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-06
Last Update Date2026-07-02
Business Address
MICHAEL DEREVENSKY MD
2799 W GRAND BLVD
DETROIT, MI 48202-2689
Phone number: 313-916-2600
Mailing Address
MICHAEL DEREVENSKY MD
2799 W GRAND BLVD
DETROIT, MI 48202-2689
Phone number:
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