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

DERRICK RISNER

Active Sole Proprietor

DERRICK RISNER is a Student (Health Education/Training) healthcare provider located in PLEASANT LAKE, Michigan. NPI 1215412622 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · PLEASANT LAKE, MI

Registration Details

NPI Number
1215412622
Provider Type
Individual
Gender
Male
NPI Issued
Oct 2, 2018 (7.8359966806748 yrs)
Last Updated
Oct 2, 2018
Sole Proprietor
Yes

Practice Information

Address
2370 BARTLETT RD
PLEASANT LAKE, MI, 492729646
Browse MI providers · Browse ZIP 49272
Phone
5177558883
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in PLEASANT LAKE, MI

Name Credential NPI
MR. JUSTIN ROBERT DRAIN 1609333863
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.