Search › Michigan › 1223G0001X
Daniel Derksen
NPI 1275735029 · on the registry since 2007
Practice
- Address
- 714 Abbott Rd
East Lansing, MI 48823 - Phone
- (517) 337-0351
- Fax
- (517) 337-5610
- Organisation at this address
- Craig A. Fedore,D.D.S., P.C.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Michigan