Individual
DR. MICHAEL IAN DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1272 GARRISON DR, MURFREESBORO, TN 37129-2598
(615) 893-4480
(615) 895-6212
Mailing address
1272 GARRISON DR, MURFREESBORO, TN 37129-2598
(615) 893-4480
(615) 895-6212
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
04-40205
KS
2080P0201X
Pediatric Allergy/Immunology Physician
2017023519
MO
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
MD65969
TN
Other
Enumeration date
06/13/2011
Last updated
07/25/2022
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