Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS MICHAEL DEDERICH, R.N.
Active Sole ProprietorDOUGLAS MICHAEL DEDERICH, R.N. is a Registered Nurse healthcare provider located in POYNETTE, Wisconsin. NPI 1831345032 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · POYNETTE, WI
Registration Details
- NPI Number
- 1831345032
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 7, 2008 (18.032559091688 yrs)
- Last Updated
- Aug 7, 2008
- License
-
148686 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
W10741 BECKER RDPOYNETTE, WI, 539559492Browse WI providers · Browse ZIP 53955
- Phone
- 6086350113
- Primary Specialty
-
Registered Nurse
163W00000X
Other Registered Nurse Providers in POYNETTE, WI
| Name | Credential | NPI |
|---|---|---|
| MARY ELLEN YOUNG | RN | 1437308152 |
| MARY SCHMIDT | RN | 1942649264 |
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.