Individual
JULIA AGNES DEPORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2305 GENOA BUSINESS PARK DR STE 220, BRIGHTON, MI 48114-7005
(810) 494-6860
(810) 229-7012
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301102520
MI
Other
Enumeration date
04/29/2013
Last updated
08/21/2019
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