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Individual
CARA E DERCK
Active
Individual
CARA E DERCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.014037
OH
207Q00000X
Family Medicine Physician
5101018178
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
34.014037
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
5101018178
MI
Other
Enumeration date
09/23/2009
Last updated
10/07/2019
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