Individual provider · Type 1 NPI

Maria Derksen

Specialist · Beaver Dam, WI

NPI number 1669803268 Active

Practice location

33 University Ave
Beaver Dam, WI 53916-8847

Call (920) 356-6936 Map

Mailing address

N3901 State Road 26
Waupun, WI 53963-8847

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1671-19 (WI)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1669803268

Maria Derksen's National Provider Identifier is 1669803268, issued on Dec 6, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Beaver Dam, WI. The record was last updated on Dec 6, 2013.