Individual
DR. TODD ALAN DERKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1301 E NORTHLAND AVE, STE B, APPLETON, WI 54911
(920) 731-1999
(920) 731-3729
Mailing address
1301 E NORTHLAND AVE, STE B, APPLETON, WI 54911
(920) 702-5484
(920) 731-1999
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
953-25
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43244900
—
WI
Enumeration date
05/21/2008
Last updated
08/19/2022
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