# DEREK ALLEN DUBAY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053584946
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204F00000X | Transplant Surgery Physician | 39857 | SC | Yes |
| 204F00000X | Transplant Surgery Physician | 5315008853 | MI | — |

## Other

- **Enumeration date:** 04/11/2008
- **Last updated:** 11/13/2024