Individual
MICHAEL DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 REID PKWY, REID HOSPITAL & HEALTH CARE SERVICES, RICHMOND, IN 47374
(765) 983-3492
(765) 983-7958
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 935-8807
(765) 935-8807
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01082585A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2016
Last updated
05/13/2021
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