Individual
ELIZABETH MORROW DEROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 281-6372
(616) 281-6459
Mailing address
360 GRAND RIVER DR NE, ADA, MI 49301-9597
(248) 563-9508
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301106410
MI
2084P0804X
Child & Adolescent Psychiatry Physician
01070813A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
4301106410
MI
Other
Enumeration date
04/23/2007
Last updated
09/28/2023
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