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Search › Wisconsin › Periodontics

Gay Derderian, DDS

NPI 1548356702 · on the registry since 2006

Practice

Address
1801 West Wisconsin Ave
Milwaukee, WI 53233
Phone
(414) 288-0788
Fax
(414) 288-0678
Organisation at this address
Marquette University
Marquette University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
142

Registry record

Primary taxonomy
Periodontics
1223P0300X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08
Status
Not present in the most recent federal file

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 Wisconsin