Derosa, Amy Philomena

Derosa, Amy Philomena is an individual health care provider with primary practice located at 33200 W 14 Mile Rd Ste 180 , West Bloomfield MI 48322-3587. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is her primary health care specialty. Derosa, Amy Philomena can be contacted via phone (248) 688-7597.

Contact Information

Primary practice address
33200 W 14 Mile Rd Ste 180 West Bloomfield MI 48322-3587
Phone: (248) 688-7597
Fax: (248) 498-6060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 5101017043 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X 5101017043 Michigan
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 5101017043 Michigan

Profile Details

NPI number 1598971327
LBN Legal business name Derosa, Amy Philomena
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Oct 5th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598971327 NPPES
Michigan MEDICAID 1598971327

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