Individual
DEREK PRZYBYLSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(715) 207-9330
Mailing address
1174 SHADOW LN, GREEN BAY, WI 54304-3942
(715) 207-9330
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
R 235077-4
MN
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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