Individual
ROBERT JOHN DERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
BELOIT CLINIC, 1905 E HUEBBE PARKWAY, BELOIT, WI 53511-1842
(608) 364-1640
(608) 363-7393
Mailing address
BELOIT HEALTH SYSTEMS INC, 1969 W HART ROAD, BELOIT, WI 53511-2230
(608) 364-2293
(608) 364-5525
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11369-33
WI
363L00000X
Nurse Practitioner
209024153
IL
363LF0000X
Family Nurse Practitioner
11369-33
WI
Other
Enumeration date
08/26/2021
Last updated
12/04/2023
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