Individual
DERRICK CHECK WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, PALO ALTO, CA 94304-2203
(650) 723-4000
Mailing address
300 PASTEUR DR, PALO ALTO, CA 94304-2203
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A83768
CA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
A83768
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
A83768
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A837680
—
CA
Enumeration date
06/05/2007
Last updated
04/29/2024
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