Individual
DERIK T. WELDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
166 19TH STREET SOUTH, SUITE 100, SARTELL, MN 56377-2154
(320) 251-0609
(320) 251-3806
Mailing address
PO BOX 1450 NW 6035, MINNEAPOLIS, MN 55485-6035
(800) 634-4064
(952) 513-6880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
45308
MN
Other
Enumeration date
05/22/2007
Last updated
11/08/2016
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