Dr. Katherine Wilson Derue, MD
Pediatrics, Sleep Medicine in Ypsilanti, MI. Individual provider (NPI-1).
NPI number1497902589
StatusActive
Last updated in NPPESJul 16, 2014
Details
- NPI
- 1497902589
- Entity type
- Individual (NPI-1)
- Name
- Dr. Katherine Wilson Derue
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2008
- Last updated
- Jul 16, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080S0012X | Pediatrics, Sleep Medicine | 4301096026 | MI | Yes |
| 208000000X | Pediatrics | 4301096026 | MI |
Other names
- Katherine Elizabeth Wilson (Former Name)
Practice location
5333 Mcauley DrSte 3111
Ypsilanti, MI 48197-1014
Phone 734-712-7688 · Fax 734-712-7056
Mailing address
24 Frank Lloyd Wright DrPo Box 0446 Lobby J
Ann Arbor, MI 48105-9484
Phone 734-747-6766 · Fax 734-222-3100
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