SearchWisconsinSpecialist

Maria Derksen

NPI 1669803268 · on the registry since 2013

Practice

Address
33 University Ave
Beaver Dam, WI 53916
Phone
(920) 356-6936

Registry record

Primary taxonomy
Specialist
174400000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-12-06

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