Individual
MRS. MARIE ELISE DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 E UNIVERSITY PKWY, BALTIMORE, MD 21218-2829
(410) 554-2608
Mailing address
WHC PHYSICIAN GROUP LLC, PO BOX 418283, BOSTON, MA 02241-0001
(703) 558-1544
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0006251
MD
Other
Enumeration date
10/05/2016
Last updated
08/24/2020
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