TERRANCE E. DERKS

MILWAUKEE, WI
NPI1932123767
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  401)
Enumeration Date2006-07-26
Last Update Date2007-07-09
Business Address
MR. TERRANCE E. DERKS PA-C
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226-3518
Phone number: 414-805-3666
Mailing Address
MR. TERRANCE E. DERKS PA-C
10000 W INNOVATION DR
MILWAUKEE, WI 53226-4837
Phone number: 414-456-5006
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