Individual
DR. DERREK WAYNE HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 WELLNESS DR, MIDLAND, MI 48670-5303
(989) 839-1644
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301511239
MI
Other
Enumeration date
06/16/2021
Last updated
08/21/2024
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