Individual
MR. DEREK JOHN MACFARLANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12200 E 13 MILE RD # 200, WARREN, MI 48093-3093
(586) 573-1810
Mailing address
12200 E 13 MILE RD # 200, WARREN, MI 48093-3093
(586) 573-1810
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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