Individual
DR. MICHAEL STUART DEROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1360 BEVERLY RD, SUITE 102, MCLEAN, VA 22101-3643
(703) 893-6388
(703) 893-0770
Mailing address
1360 BEVERLY RD, SUITE 102, MCLEAN, VA 22101-3643
(703) 893-6388
(703) 893-0770
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001434
VA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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