Individual
PAUL E DERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1225 E BIG BEAVER RD, TROY, MI 48083-1905
(248) 524-8801
Mailing address
2214 RUSSELL ST, GRAND BLANC, MI 48439-4218
(810) 610-8896
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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