Individual
MICHELLE ELAINE DEROME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3024 SNELLING AVE, MINNEAPOLIS, MN 55406-1911
(612) 775-4900
Mailing address
1300 YALE PL APT 208, MINNEAPOLIS, MN 55403-2157
(262) 226-6049
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
07/06/2026
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