Dr. Todd A Derksen
Foot & Ankle Surgery
2105 E. Enterprise Ave. Suite 111
Appleton
, Wisconsin 54913-7862
Dr. Todd A Derksen
Foot & Ankle Surgery
2105 E. Enterprise Ave. Suite 111
Appleton
, Wisconsin 54913-7862
(920) 731-6732
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Todd A Derksen
- 2105 E. Enterprise Ave. Suite 111
- Appleton, WI
- Zip : 54913-7862
- Fax : (920) 731-6732
- Phone : (920) 731-6611
Second Address
- Dr. Todd A Derksen
- 2105 E. Enterprise Ave. Suite 111
- Appleton, WI
- Zip : 54913-7862
- Fax : (920) 731-6732
- Phone : (920) 731-6611
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | 953-25 | WI |
National Provider Identifier
| NPI | 1053578682 |
|---|---|
| Provider Name | Dr. Todd A Derksen |
| First Address | Appleton, WI 54913-7862 |
| Second Address | Appleton, WI 54913-7862 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/05/2008 |
| Last Update Date | 21/12/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 43244900 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.