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Individual

DR. MICHAEL E DEROCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3700 WASHINGTON AVE STE 1100, EVANSVILLE, IN 47714-0541
(812) 485-1894
Mailing address
300 STONECREST BLVD, SUITE 290, SMYRNA, TN 37167-5688
(615) 459-2051
(615) 459-2061

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
E-15923
AR
207VM0101X
Maternal & Fetal Medicine Physician
Primary
01090418A
IN
207VM0101X
Maternal & Fetal Medicine Physician
37775
TN
207VM0101X
Maternal & Fetal Medicine Physician
E-15923
AR

Other

Enumeration date
06/15/2006
Last updated
06/27/2023
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