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Individual
DR. MICHAEL IAN DERRICK
Active
Individual
DR. MICHAEL IAN DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
04-40205
KS
2080P0201X
Pediatric Allergy/Immunology Physician
2017023519
MO
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
MD65969
TN
Other
Enumeration date
06/13/2011
Last updated
07/25/2022
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