Dr GREGORY P DERDERIAN is a male medical professional, specializing in Vascular Surgery. He graduated in 1976 from Kansas City College Of Medicine And Surgery.
538 N OLD WOODWARD
BIRMINGHAM
MI
480095375
Tel:
Npi | 1457355737 |
Pac Id | 8426141979 |
Professional Enrollment Id | I20070829000825 |
Last Name | DERDERIAN |
First Name | GREGORY |
Middle Name | P |
Suffix | |
Gender | M |
Credential | |
Medical School Name | KANSAS CITY COLLEGE OF MEDICINE AND SURGERY |
Graduation Year | 1976 |
Primary Specialty | VASCULAR SURGERY |
Secondary Specialty 1 | |
Secondary Specialty 2 | |
Secondary Specialty 3 | |
Secondary Specialty 4 | |
All Secondary Specialties | |
Organization Legal Name | |
Group Practice Pac Id | |
Number Of Group Practice Members | |
Line 1 Street Address | 538 N OLD WOODWARD |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | BIRMINGHAM |
State | MI |
Zip Code | 480095375 |
Phone Number | |
Hospital Affiliation Ccn 1 | |
Hospital Affiliation Lbn 1 | |
Hospital Affiliation Ccn 2 | |
Hospital Affiliation Lbn 2 | |
Hospital Affiliation Ccn 3 | |
Hospital Affiliation Lbn 3 | |
Hospital Affiliation Ccn 4 | |
Hospital Affiliation Lbn 4 | |
Hospital Affiliation Ccn 5 | |
Hospital Affiliation Lbn 5 | |
Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.