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Individual
DERRICK HEYDINGER
Active
Individual
DERRICK HEYDINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
58.007498
OH
Other
Enumeration date
05/06/2016
Last updated
10/01/2024
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