Search › North Carolina › 207Q00000X
Theodore Derse, MD
NPI 1336254515 · on the registry since 2006
Practice
- Address
- 1260 N Arendell Ave
Zebulon, NC 27597 - Phone
- (919) 235-1965
- Organisation at this address
- Wake Specialty Physicians, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Additional practice sites
- 3115 Lewis Ave, Zion, IL
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
207Q00000X - Licence states on file
- WI, IL, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-25
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 North Carolina