Individual
MICHAEL DERAAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFNP
Contact information
Practice address
40463 S GROESBECK HWY, CLINTON TOWNSHIP, MI 48036-5005
(586) 300-9114
(586) 300-9115
Mailing address
40463 S GROESBECK HWY, CLINTON TOWNSHIP, MI 48036-5005
(586) 300-9114
(586) 300-9115
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704285839
MI
363LF0000X
Family Nurse Practitioner
Primary
4704285839
MI
Other
Enumeration date
11/15/2016
Last updated
10/23/2023
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