Individual
DEREK MCGAUGHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1592 LARKMOOR BLVD, BERKLEY, MI 48072-1926
(248) 408-9256
Mailing address
1592 LARKMOOR BLVD, BERKLEY, MI 48072-1926
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MI
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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