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Organization

YOUSSEF DERBALA

Active
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Organization

YOUSSEF DERBALA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YOUSSEF DERBALA MDQ (MD)
(616) 676-6196
Entity
Organization

Contact information

Practice address
15050 E JEFFERSON AVE STE 102, GROSSE POINTE PARK, MI 48230-2050
(248) 938-0141
Mailing address
15050 E JEFFERSON AVE STE 102, GROSSE POINTE PARK, MI 48230-2050
(248) 938-0141

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—

Other

Enumeration date
07/23/2020
Last updated
07/23/2020
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