Individual
DR. IRIS DEODORICO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1535 GULL RD, SUITE 200, KALAMAZOO, MI 49048-1650
(269) 388-6350
(269) 388-4738
Mailing address
1535 GULL RD, SUITE 200, KALAMAZOO, MI 49048-1650
(269) 388-6350
(269) 388-4738
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
4301062556
MI
2085R0202X
Diagnostic Radiology Physician
4301062556
MI
2085U0001X
Diagnostic Ultrasound Physician
Primary
4301062556
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4635885
—
MI
05
—
4843037
—
MI
Enumeration date
05/16/2006
Last updated
09/11/2025
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