Individual
DEREK WALTER MIGAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1110 HAMMOND RD E, STE 5, TRAVERSE CITY, MI 49686-9362
(231) 995-5210
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011921
MI
Other
Enumeration date
01/07/2008
Last updated
04/09/2014
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