Search › Minnesota › 1223G0001X
Jeremy Derksen, DDS
NPI 1740573443 · on the registry since 2011 · sole proprietor
Practice
- Address
- 185 Mccarrons Blvd N #316
Roseville, MN 55113 - Phone
- (515) 326-5977
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-05-27
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 Minnesota