SearchIndiana122300000X

Derek Berquist, DMD

NPI 1255889788 · on the registry since 2016

Practice

Address
11059 Broadway
Suite B
Crown Point, IN 46307
Phone
(219) 226-0544

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-09-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana