Dirk Jon Derksen, MD

NPI #1013902055 in Appleton, Wisconsin

Provider Information

NPI Number: 1013902055
Entity Type: Individual
Name: Dirk Jon Derksen, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Sep 15, 2005
Last Updated: Feb 17, 2009

Practice Location

Address: 10 WAGON WHEEL DR
City: Appleton
State: Wisconsin
ZIP Code: 54913-9782
Phone: (920) 731-6374

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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