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Individual

DR. DEREK STEVEN SERNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
N16W24131 RIVERWOOD DR, WAUKESHA, WI 53188-1106
(262) 696-5690
Mailing address
N16W24131 RIVERWOOD DR, WAUKESHA, WI 53188-1106
(262) 696-5690

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
01069267A
IN
207RH0003X
Hematology & Oncology Physician
35091934
OH
207RH0003X
Hematology & Oncology Physician
Primary
69134
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000721848
ANTHEM
IN
05
201035110
IN
Enumeration date
05/18/2007
Last updated
01/06/2025
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