Derek I Colmenares in Fond Du Lac - Family Medicine
Derek I Colmenares - NPI 1831180470
Derek I Colmenares is a Family Medicine in Fond Du Lac, Wisconsin. Derek I Colmenares practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Derek I Colmenares is 1831180470. The last update date is 2020-12-28.
Derek I Colmenares's current location address is 420 E Division St, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209268340 and fax number 9209268370. The mailing address for Derek I Colmenares is 420 E Division St, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek I Colmenares |
|---|---|
| Address | 420 E Division St, Fond Du Lac, Wisconsin |
| Phone Number | 9209268340 |
| Fax Number | 9209268370 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1831180470 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2020-12-28 |
Provider Mailing Address Detail
| Address | 420 E Division St |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 549354560 |
| Phone Number | 9209268340 |
| Fax Number | 9209268370 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 43322 |
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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 |
|---|---|---|---|
| 34088000 | WI | -- | |
| 80169830 | WI | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Derek I Colmenares by the Centers for Medicare & Medicaid Services?
The Derek I Colmenares has been assigned the NPI (National Provider Identifier) 1831180470. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Derek I Colmenares's physical address?
The Derek I Colmenares is physically located at 420 E Division St, in the city of Fond Du Lac, WI, with the postal code 549354560.
What is the Derek I Colmenares's area of specialization and corresponding taxonomy classification?
The Derek I Colmenares's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Derek I Colmenares receive its 1831180470 assignment from the Centers for Medicare & Medicaid Services?
The Derek I Colmenares was assigned its 1831180470 by the Centers for Medicare & Medicaid Services on 2005-11-02.
As of what date were the Derek I Colmenares's details last updated?
The information pertaining to the Derek I Colmenares, including its address, specialty, and other details, was most recently updated on 2020-12-28.
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