Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK SUSALLA
Active Sole ProprietorDEREK SUSALLA is a Physician Assistant healthcare provider located in ROCHESTER HILLS, Michigan. NPI 1508392796 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ROCHESTER HILLS, MI
Registration Details
- NPI Number
- 1508392796
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 7, 2017 (9.2919495122348 yrs)
- Last Updated
- May 7, 2017
- License
-
5601008192 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
441 S LIVERNOIS RDROCHESTER HILLS, MI, 483072584Browse MI providers · Browse ZIP 48307
- Phone
- 2486088800
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ROCHESTER HILLS, MI
| Name | Credential | NPI |
|---|---|---|
| MS. KIMBERLY HARMON ROZNOWSKI | PA-C | 1053399865 |
| LARRY E ANDERSON | PA-C | 1023057056 |
| MRS. KARI JEAN EWALT | MS, MA | 1962559682 |
| JENNIFER FRANCINE HELHOWSKI | P.A.-C | 1992919625 |
| MRS. ANDREA LEE DREFFS | PA-C | 1942452677 |
| THERESA B MILLER | P.A | 1609028356 |
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.