Terrance E. Derks in Milwaukee - Physician Assistant
Terrance E. Derks - NPI 1932123767
Terrance E. Derks is a Physician Assistant in Milwaukee, Wisconsin. Terrance E. Derks practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Terrance E. Derks is 1932123767. The last update date is 2007-07-09.
Terrance E. Derks's current location address is 9000 W Wisconsin Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4148053666. The mailing address for Terrance E. Derks is 9000 W Wisconsin Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Terrance E. Derks |
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Address | 9000 W Wisconsin Ave, Milwaukee, Wisconsin |
Phone Number | 4148053666 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1932123767 |
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Provider Enumeration Date | 2006-07-26 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 9000 W Wisconsin Ave |
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City | Milwaukee |
State | Wisconsin (WI) |
Post Code | 532263518 |
Phone Number | 4148053666 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 401 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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42953300 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Terrance E. Derks by the Centers for Medicare & Medicaid Services?
The Terrance E. Derks has been issued the NPI (National Provider Identifier) 1932123767 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Terrance E. Derks?
The Terrance E. Derks is situated at 9000 W Wisconsin Ave, in the city of Milwaukee, state of WI, with the zip code 532263518.
What is the Terrance E. Derks's specialty and taxonomy code?
The Terrance E. Derks's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did Terrance E. Derks receive its 1932123767 assignment from the Centers for Medicare & Medicaid Services?
The Terrance E. Derks was assigned its 1932123767 on 2006-07-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Terrance E. Derks most recently updated or revised?
The information pertaining to Terrance E. Derks, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.