Organization
DERBALA INSTITUTE FOR REPRODUCTIVE IMMUNOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUSSEF DERBALA MD (MD)
(616) 676-6196
Entity
Organization
Contact information
Practice address
20480 VERNIER RD, HARPER WOODS, MI 48225-1411
(248) 938-0141
Mailing address
20480 VERNIER RD, HARPER WOODS, MI 48225-1411
(248) 938-0141
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
—
—
207VX0000X
Obstetrics Physician
Primary
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
Other
Enumeration date
12/30/2021
Last updated
09/08/2025
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