Individual
DR. DONALD CHRISTIAN DERAUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
105219
MN
208000000X
Pediatrics Physician
Primary
53691
MN
208000000X
Pediatrics Physician
74424
WI
208000000X
Pediatrics Physician
MD-6545
HI
Other
Enumeration date
10/12/2006
Last updated
01/29/2021
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