Organization
APD PLASTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DEROSA DO (MEMBER)
(248) 688-7597
Entity
Organization
Contact information
Practice address
33200 W 14 MILE RD, WEST BLOOMFIELD, MI 48322-3563
(248) 688-7597
Mailing address
33200 W 14 MILE RD, WEST BLOOMFIELD, MI 48322-3563
(248) 688-7597
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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