Individual
DEREK ZAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6016 LOVERS LN, PORTAGE, MI 49002-3050
(269) 248-1946
Mailing address
625 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546-2395
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501304417
MI
Other
Enumeration date
02/18/2026
Last updated
02/18/2026
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