DEREK I COLMENARES

FOND DU LAC, WI
NPI1831180470
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  43322)
Enumeration Date2005-11-02
Last Update Date2020-12-28
Business Address
DEREK I COLMENARES MD
420 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-8200
Mailing Address
DEREK I COLMENARES MD
420 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-8340
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