Individual
DALE E DERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5300 HARROUN RD, SUITE 304, SYLVANIA, OH 43560-2182
(419) 824-1100
(419) 824-1771
Mailing address
5300 HARROUN RD, SUITE 304, SYLVANIA, OH 43560-2182
(419) 824-1100
(419) 824-1771
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35044704
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000142525
ANTHEM
OH
01
—
000000385212
ANTHEM COMMERICAL
OH
01
—
0000004002383
ANTHEM MEDICAID
OH
05
—
0458802
—
OH
01
—
142491
PRIORITY HEALTH
MI
01
—
142491
CARE CHOICES
OH
01
—
2974411950-006
MEDICAL MUTUAL
OH
01
—
344428256
BEECH STREET
CA
01
—
344428256
EMERALD
OH
01
—
4002382
AETNA
OH
05
—
4826635
—
MI
01
—
8081472
CIGNA
OH
01
—
PH00240649
NATIONWIDE
OH
Enumeration date
06/24/2005
Last updated
03/18/2014
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