DR. Michael Stuart Derose, D.C.

NPI #1558380451 in Mclean, Virginia

Provider Information

NPI Number: 1558380451
Entity Type: Individual
Name: DR. Michael Stuart Derose, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jul 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1360 BEVERLY RD
Address 2: SUITE 102
City: Mclean
State: Virginia
ZIP Code: 22101-3643
Phone: (703) 893-6388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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