Individual provider · Type 1 NPI

Derek S. Versalle, DO

Emergency Medicine Physician · Portage, MI

NPI number 1669162616 Active

Practice location

950 Trade Centre Way
Portage, MI 49002-0487

Mailing address

950 Trade Centre Way Ste 230
Portage, MI 49002-0492

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000X5151016178 (MI)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1669162616

Derek S. Versalle, DO's National Provider Identifier is 1669162616, issued on May 12, 2023. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Portage, MI. The record was last updated on Jul 29, 2026.