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Individual
DERREK N WOODBURY
Active
Individual
DERREK N WOODBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
103869
WI
207X00000X
Orthopaedic Surgery Physician
5101020102
MI
207X00000X
Orthopaedic Surgery Physician
82283
WI
207X00000X
Orthopaedic Surgery Physician
Primary
DO190678
OR
207XX0801X
Orthopaedic Trauma Physician
5101020102
MI
Other
Enumeration date
06/26/2012
Last updated
08/04/2026
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