Individual
DERREK MILLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 E CANFIELD ST, DETROIT, MI 48201-1804
(313) 745-6969
(313) 966-7305
Mailing address
4201 SAINT ANTOINE ST, UHC 5C, DETROIT, MI 48201-2153
(313) 577-4342
(313) 745-4707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301096894
MI
208000000X
Pediatrics Physician
4301096894
MI
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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