Individual
ALTA J. DEROO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1521 GULL RD, KALAMAZOO, MI 49048-1640
(269) 226-5927
Mailing address
6 EVERGREEN RD, NORTH OAKS, MN 55127-2004
(757) 343-1218
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101237764
VA
207V00000X
Obstetrics & Gynecology Physician
168454
CA
207V00000X
Obstetrics & Gynecology Physician
4301116178
MI
207V00000X
Obstetrics & Gynecology Physician
71806
MN
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
168454
CA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
71806
MN
Other
Enumeration date
11/29/2006
Last updated
10/18/2024
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