Individual
DEREK S DYESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 MINNESOTA DR STE 800, EDINA, MN 55435-7915
(952) 595-1100
Mailing address
3600 MINNESOTA DR STE 800, EDINA, MN 55435-7915
(952) 595-1100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
042.0016510-COMP
VT
2085R0202X
Diagnostic Radiology Physician
Primary
17131
MS
2085R0202X
Diagnostic Radiology Physician
329611
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07804294
—
MS
01
—
P00122992
RAILROAD MEDICARE
MS
Enumeration date
07/07/2005
Last updated
02/05/2026
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