Derek Walter Migazzi

NPI 1699950808 - Physical Therapist - 225100000X

NPI Details
NPI 1699950808
Gender Male
Enumeration Date 01/07/2008
Last Updated 04/09/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
1110 HAMMOND RD E
STE 5
TRAVERSE CITY MI, 49686-9362, US
Phone (231) 995-5210
Fax
Business Location
790 REMINGTON BLVD
BOLINGBROOK IL, 60440-4909, US
Phone (630) 296-2223
Fax
Toxanomy
Taxonomy Code 225100000X
License State Michigan
License Number 5501011921
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According to our database, Derek Walter Migazzi NPI is 1699950808, taxonomy code is 225100000X and license number is 5501011921, license state is located at Michigan. Derek Walter Migazzi physically located at 1110 Hammond Rd E, Traverse City MI, 49686-9362. NPI Number Derek Walter Migazzi has the Individual type.

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1699950808 NPI number is provided on an as is basis without warranty of any kind. 1699950808 is maintained by the National Plan & Provider Enumeration System. The contents of Derek Walter Migazzi are for informational purposes only.