Individual
DEREK S VERSALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1284
(269) 337-6600
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1284
(269) 337-6600
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
5151016178
MI
Other
Enumeration date
05/12/2023
Last updated
05/23/2023
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