Individual
DR. DEREK THOMAS NAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2060 E PARIS AVE SE, SUITE 100, GRAND RAPIDS, MI 49546-6113
(616) 956-6100
Mailing address
2060 E PARIS AVE SE, SUITE 100, GRAND RAPIDS, MI 49546-6113
(616) 956-6100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301083523
MI
Other
Enumeration date
05/07/2007
Last updated
06/09/2011
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