Maria Derksen
NPI #1669803268 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1669803268
- Entity Type
- Individual
- Name
- Maria Derksen
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Dec 6, 2013
- Last Updated
- Dec 6, 2013
Practice Location
- Address
- 33 UNIVERSITY AVE
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-8847
- Phone
- (920) 356-6936
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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