Individual
MR. DERRICK YUAN SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
63629-20
WI
207T00000X
Neurological Surgery Physician
Primary
Q6578
TX
207X00000X
Orthopaedic Surgery Physician
63629-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358901201
—
TX
01
—
358901202
CSHCN
TX
Enumeration date
03/30/2008
Last updated
09/12/2016
Update your record
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