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1780038083
JUSTIN MICHAEL DERSCH
COLUMBIA, MO
NPI
1780038083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MO 2022026550)
Enumeration Date
2016-04-22
Last Update Date
2024-02-20
Business Address
JUSTIN MICHAEL DERSCH M.D.
1000 W NIFONG BLVD BLDG 2, STE 220
COLUMBIA, MO 65203-5615
Phone number: 573-882-5673
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Mailing Address
JUSTIN MICHAEL DERSCH M.D.
PO BOX 843966
KANSAS CITY, MO 64184-3966
Phone number: 573-884-3300
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