Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DEREK ANTHONY MCLISTER, D.P.M
Active Sole ProprietorDR. DEREK ANTHONY MCLISTER, D.P.M is a Podiatrist healthcare provider located in FARGO, North Dakota. NPI 1114453552 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · FARGO, ND
Registration Details
- NPI Number
- 1114453552
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2017 (9.2372355977533 yrs)
- Last Updated
- Apr 4, 2022
- Licenses
-
86 (ND)1068 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5225 23RD AVE SFARGO, ND, 581047927Browse ND providers · Browse ZIP 58104
- Phone
- 7014172575
- Primary Specialty
-
Podiatrist
213E00000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Podiatrist
Other Podiatrist Providers in FARGO, ND
| Name | Credential | NPI |
|---|---|---|
| PAUL SHEARER | DPM | 1518960301 |
| LEE A HOFSOMMER | DPM | 1972534642 |
| MICHAEL D WILLIAMS | D.P.M. | 1851499917 |
| DR. JESSICA RISPOLI | — | 1053790410 |
| TRAVIS FITZKE | — | 1952966541 |
| DR. RYAN JAMESON | DPM | 1164107959 |
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.