| Douglas Michael Dederich, RN | |
|
W10741 Becker Rd, Poynette, WI 53955-9492 | |
| (608) 635-0113 | |
| Not Available |
| Full Name | Douglas Michael Dederich |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | W10741 Becker Rd, Poynette, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831345032 | NPI | - | NPPES |
| 35064600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 148686 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Michael Dederich, RN W10741 Becker Rd, Poynette, WI 53955-9492 Ph: (608) 635-0113 | Douglas Michael Dederich, RN W10741 Becker Rd, Poynette, WI 53955-9492 Ph: (608) 635-0113 |
Miss Dean John Dyke, RN, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 238 W Washington St, Poynette, WI 53955 Phone: 608-635-8622 | |
Mary Ellen Young, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 422 Valley View Dr, Poynette, WI 53955 Phone: 608-635-7757 | |
Ms. Lou Ann Newby, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: W10020 Olson Rd, Poynette, WI 53955 Phone: 608-635-7273 | |
Mary Schmidt, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: N3896 Tipperary Rd, Poynette, WI 53955 Phone: 608-563-5743 |