C. Thomas Deroche, Dpm, Llc in Plover - Foot & Ankle Surgery
C. Thomas Deroche, Dpm, Llc - NPI 1699969022
C. Thomas Deroche, Dpm, Llc is a Foot & Ankle Surgery in Plover, Wisconsin. C. Thomas Deroche, Dpm, Llc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for C. Thomas Deroche, Dpm, Llc is 1699969022. The last update date is 2019-05-22.
C. Thomas Deroche, Dpm, Llc's current location address is 2020 County Rd Hh, Plover, Wisconsin. You can contact this provider via phone number 7153449500 and fax number 7153449501. The mailing address for C. Thomas Deroche, Dpm, Llc is 2020 County Rd Hh, Plover, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | C. Thomas Deroche, Dpm, Llc |
|---|---|
| Address | 2020 County Rd Hh, Plover, Wisconsin |
| Phone Number | 7153449500 |
| Fax Number | 7153449501 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PROV |
|---|---|
| Authorized Official Name | Deroche Thomas Christopher |
| Credentials | DPM |
| Telephone Number | 7153449500 |
NPI Number Detail
| NPI Number | 1699969022 |
|---|---|
| Provider Enumeration Date | 2007-08-29 |
| Last Updated Date | 2019-05-22 |
Provider Mailing Address Detail
| Address | 2020 County Rd Hh |
|---|---|
| City | Plover |
| State | Wisconsin (WI) |
| Post Code | 54467 |
| Phone Number | 7153449500 |
| Fax Number | 7153449501 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 703-025 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43220000 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to C. Thomas Deroche, Dpm, Llc?
The C. Thomas Deroche, Dpm, Llc has been issued the NPI (National Provider Identifier) 1699969022 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where C. Thomas Deroche, Dpm, Llc's facilities are geographically located?
The facilities of C. Thomas Deroche, Dpm, Llc are physically situated at the following location: 2020 County Rd Hh, Plover, WI, 54467.
What is the C. Thomas Deroche, Dpm, Llc's specialty and taxonomy code?
The C. Thomas Deroche, Dpm, Llc's specialty is Foot & Ankle Surgery, and the corresponding taxonomy code is 213Es0103X.
When was the C. Thomas Deroche, Dpm, Llc's 1699969022 issued?
The C. Thomas Deroche, Dpm, Llc's 1699969022 was issued on 2007-08-29.
When was the information pertaining to C. Thomas Deroche, Dpm, Llc most recently updated or revised?
The details related to C. Thomas Deroche, Dpm, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2019-05-22.