| Dirk Jon Derksen, MD | |
|
10 Wagon Wheel Dr, Appleton, WI 54913-9782 | |
| (920) 731-6374 | |
| Not Available |
| Full Name | Dirk Jon Derksen |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 10 Wagon Wheel Dr, Appleton, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013902055 | NPI | - | NPPES |
| 31145100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | AD6655394 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dirk Jon Derksen, MD 10 Wagon Wheel Dr, Appleton, WI 54913-9782 Ph: (920) 731-6374 | Dirk Jon Derksen, MD 10 Wagon Wheel Dr, Appleton, WI 54913-9782 Ph: (920) 731-6374 |
Michael John Van Abel, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3916 N Intertech Ct, Appleton, WI 54913 Phone: 920-996-1000 | |
Stephen C Fuller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3916 N Intertech Ct, Appleton, WI 54913 Phone: 920-996-1000 | |
Samuel James Heiks, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3916 N Intertech Ct, Appleton, WI 54913 Phone: 920-996-1000 Fax: 920-996-1054 | |
Brittany E Goodrich-braun, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-830-6877 | |
Ms. Cynthia Frances Susedik, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-830-6877 Fax: 920-993-5037 | |
N Carter Noble, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3329 N Richmond St, Appleton, WI 54911 Phone: 920-380-2715 |