Gregory Paul Derderian, D.O.

NPI #1457355737 in Birmingham, Michigan

Provider Information

NPI Number: 1457355737
Entity Type: Individual
Name: Gregory Paul Derderian, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery - Vascular Surgery
Credential: D.O.
Enumeration Date: Jun 2, 2005
Last Updated: Sep 18, 2012

Practice Location

Address: 538 N OLD WOODWARD AVE
City: Birmingham
State: Michigan
ZIP Code: 48009-5375
Phone: (248) 594-3091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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DR. Michael D Colburn	Surgery - Vascular Surgery	Traverse City	AI Deep Dive
DR. David J Amalfitano, D.O.	Surgery - Vascular Surgery	Traverse City	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Michigan Vascular Institute Pllc	Surgery - Vascular Surgery	Birmingham	AI Deep Dive
Decatur Vein Clinic, Michigan, PC	Surgery - Vascular Surgery	Grand Rapids	AI Deep Dive

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