Individual provider · Type 1 NPI
Michael D. Dersam, MD
Orthopaedic Surgery Physician · Phoenix, AZ
Practice location
2222 E Highland Ave Ste 425
Phoenix, AZ 85016-4881
Fax (602) 588-4034
Mailing address
2500 W Utopia Rd Ste 100
Phoenix, AZ 85027-4172
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery Physician Primary | 207X00000X | 30263 (AZ) |
| Specialist | 174400000X | 30263 (AZ) |
Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…
3 other providers at this address
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- Judd Edward Cummings, MDOrthopaedic Surgery Physician Phoenix, AZ NPI 1043437965
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- Gary Deaver Boston, MDOrthopaedic Surgery Physician Phoenix, AZ NPI 1063414241
About NPI 1477539302
Michael D. Dersam, MD's National Provider Identifier is 1477539302, issued on Dec 22, 2005. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 16, 2026.