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Individual

DEREK FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
IHA WATERFORD PRIMARY CARE, 4400 HIGHLAND RD, WATERFORD, MI 48328
(248) 618-6000
(248) 619-6951
Mailing address
24 FRANK LLOYD WRIGHT DR, SUITE J2000, ANN ARBOR, MI 48105

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101026945
MI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/25/2020
Last updated
05/30/2023
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