Individual
DR. DENNIS P DERUELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FHM
Contact information
Practice address
265 BROOKVIEW CENTRE WAY STE 203, KNOXVILLE, TN 37919-4053
(800) 342-2898
Mailing address
6616 ELLWOOD CT, NASHVILLE, TN 37205-3929
(813) 966-1077
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60938
TN
207R00000X
Internal Medicine Physician
ME0073520
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253098800
—
FL
01
—
41576
BC FLORIDA
FL
Enumeration date
10/04/2005
Last updated
07/31/2025
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