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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIRK JON DERKSEN, MD

Active

DIRK JON DERKSEN, MD is a Family Medicine healthcare provider located in APPLETON, Wisconsin. NPI 1013902055 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · APPLETON, WI

Registration Details

NPI Number
1013902055
Provider Type
Individual
Gender
Male
NPI Issued
Sep 15, 2005 (20.890772030301 yrs)
Last Updated
Feb 17, 2009
License
AD6655394 (WI)

Practice Information

Address
10 WAGON WHEEL DR
APPLETON, WI, 549139782
Browse WI providers · Browse ZIP 54913
Phone
9207316374
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in APPLETON, WI

Name Credential NPI
PAUL D NELSEN MD 1699767301
DR. NANCY J LINDO-DRUSCH MD 1821081035
NORMAN J SCHROEDER II MD 1245224245
MARIA EDITHA M BAUTISTA-SANTOS MD 1386638393
THOMAS C SCHELBLE MD 1609860691
DR. JAMES E BURWITZ MD 1710971627
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.