Whalio Doctors

NPI 1184791725

Alta J. Deroo, MD

Practitioner Addiction Medicine (Preventive Medicine) Physician Kalamazoo, MI

Practice location

Address
1521 Gull Rd, Kalamazoo, MI 49048-1640
Phone
(269) 226-5927
Mailing address
6 Evergreen Rd, North Oaks, MN 55127-2004

Registered specialties (6)

Addiction Medicine (Preventive Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083A0300X Licence 71806 (MN)
Obstetrics & Gynecology Physician
Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 71806 (MN)
Obstetrics & Gynecology Physician
Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 168454 (CA)
Addiction Medicine (Preventive Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 2083A0300X Licence 168454 (CA)
Obstetrics & Gynecology Physician
Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 4301116178 (MI)
Obstetrics & Gynecology Physician
Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 0101237764 (VA)

Registry record

NPI
1184791725
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Nov 2006
Record last updated
18 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.