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NPI Profile for ALTA J DEROO in KALAMAZOO, MI.
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2083A0300X | 84 | Physician/Preventive Medicine | |
Obstetrics & Gynecology |
207V00000X | 16 | Physician/Obstetrics & Gynecology |
| NPI # | 1184791725 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 11/29/2006 | |
| Last updated | 10/18/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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ALTA J DEROO
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ALTA J DEROO, MD