Derue, Katherine Wilson

Derue, Katherine Wilson is an individual health care provider with primary practice located at 5333 Mcauley Dr Ste 3111, Ypsilanti MI 48197-1014. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is her primary health care specialty. Derue, Katherine Wilson can be contacted via phone (734) 712-7688.

Contact Information

Primary practice address
5333 Mcauley Dr Ste 3111 Ypsilanti MI 48197-1014
Phone: (734) 712-7688
Fax: (734) 712-7056
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301096026 Michigan
Allopathic & Osteopathic Physicians / Sleep Medicine 2080S0012X 4301096026 Michigan

Profile Details

NPI number 1497902589
LBN Legal business name Derue, Katherine Wilson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2008
Last updated Jul 16th, 2014 - about 12 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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