Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL IAN DERRICK, M.D.
ActiveDR. MICHAEL IAN DERRICK, M.D. is a Pediatric Allergy/Immunology healthcare provider located in MURFREESBORO, Tennessee. NPI 1275828717 is currently active in the NPPES registry. Verify at CMS.
Pediatric Allergy/Immunology · MURFREESBORO, TN
Registration Details
- NPI Number
- 1275828717
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2011 (15.194483345152 yrs)
- Last Updated
- Jul 25, 2022
- Licenses
-
04-40205 (KS)2017023519 (MO)MD65969 (TN)
Practice Information
- Address
-
1272 GARRISON DRMURFREESBORO, TN, 371292598Browse TN providers · Browse ZIP 37129
- Phone
- 6158934480
- Fax
- 6158956212
- Primary Specialty
-
Pediatric Allergy/Immunology
2080P0201X
- Additional Specialty
- Pediatric Allergy/Immunology
- Additional Specialty
- Pediatric Allergy/Immunology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.