Individual
DEREK RICHARD ST LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085
(248) 964-5000
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1865
(616) 391-3130
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301115571
MI
Other
Enumeration date
06/28/2018
Last updated
06/21/2024
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