Dirk Jon Derksen in Appleton - Family Medicine
Dirk Jon Derksen - NPI 1013902055
Dirk Jon Derksen is a Family Medicine in Appleton, Wisconsin. Dirk Jon Derksen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Dirk Jon Derksen is 1013902055. The last update date is 2009-02-17.
Dirk Jon Derksen's current location address is 10 Wagon Wheel Dr, Appleton, Wisconsin. You can contact this provider via phone number 9207316374. The mailing address for Dirk Jon Derksen is 10 Wagon Wheel Dr, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dirk Jon Derksen |
|---|---|
| Address | 10 Wagon Wheel Dr, Appleton, Wisconsin |
| Phone Number | 9207316374 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1013902055 |
|---|---|
| Provider Enumeration Date | 2005-09-15 |
| Last Updated Date | 2009-02-17 |
Provider Mailing Address Detail
| Address | 10 Wagon Wheel Dr |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549139782 |
| Phone Number | 9207316374 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | AD6655394 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31145100 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dirk Jon Derksen by the Centers for Medicare & Medicaid Services (CMS)?
The Dirk Jon Derksen has been assigned the NPI (National Provider Identifier) 1013902055. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Dirk Jon Derksen is physically located?
The Dirk Jon Derksen is situated at the following address: 10 Wagon Wheel Dr, Appleton, WI 549139782.
What is the area of specialization for Dirk Jon Derksen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dirk Jon Derksen is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date was the 1013902055 assigned to Dirk Jon Derksen?
The Dirk Jon Derksen was issued its 1013902055 on 2005-09-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Dirk Jon Derksen last refreshed?
The information related to the Dirk Jon Derksen, including its address, specialty, and other relevant details, was last updated on 2009-02-17.
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