Christopher Thomas Deroche in Plover - Foot & Ankle Surgery
Christopher Thomas Deroche - NPI 1790763779
Christopher Thomas Deroche is a Foot & Ankle Surgery in Plover, Wisconsin. Christopher Thomas Deroche practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Christopher Thomas Deroche is 1790763779. The last update date is 2019-05-24.
Christopher Thomas Deroche's current location address is 2020 Country Rd Hh, Plover, Wisconsin. You can contact this provider via phone number 7153449500 and fax number 7153449501. The mailing address for Christopher Thomas Deroche is 2020 Country Rd Hh, Plover, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christopher Thomas Deroche |
|---|---|
| Address | 2020 Country Rd Hh, Plover, Wisconsin |
| Phone Number | 7153449500 |
| Fax Number | 7153449501 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1790763779 |
|---|---|
| Provider Enumeration Date | 2006-01-09 |
| Last Updated Date | 2019-05-24 |
Provider Mailing Address Detail
| Address | 2020 Country 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 |
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Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43220000 | WI | -- | |
| P00437506 | WI | PALMETTO MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Christopher Thomas Deroche by the Centers for Medicare & Medicaid Services?
The Christopher Thomas Deroche has been assigned the NPI (National Provider Identifier) 1790763779 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Christopher Thomas Deroche is physically located?
The Christopher Thomas Deroche is physically situated at the following address: 2020 Country Rd Hh, Plover, WI, 54467.
What is Christopher Thomas Deroche's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Christopher Thomas Deroche is Foot & Ankle Surgery, and the taxonomy classification code that categorizes this area of expertise is 213Es0103X.
On what date did the Centers for Medicare & Medicaid Services assign the 1790763779 to Christopher Thomas Deroche?
The Centers for Medicare & Medicaid Services assigned the 1790763779 to Christopher Thomas Deroche on 2006-01-09.
When was the information pertaining to Christopher Thomas Deroche most recently updated or revised?
The details related to Christopher Thomas Deroche, including its address, specialty, and other relevant information, were last updated or revised on 2019-05-24.