Individual
MR. DAVID JAMES DEROUSELLE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
32100 TELEGRAPH RD, SUITE 185, BINGHAM FARMS, MI 48025-2452
(248) 712-4266
(248) 712-4381
Mailing address
32100 TELEGRAPH RD, SUITE 185, BINGHAM FARMS, MI 48025-2452
(248) 712-4266
(248) 712-4381
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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