Individual
DR. DEREK OLDENBURGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1208 N PARKVIEW DR, BISMARCK, ND 58501-1288
(701) 223-6519
Mailing address
1208 N PARKVIEW DR, BISMARCK, ND 58501-1288
(701) 223-6519
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3511
ND
Other
Enumeration date
09/30/2009
Last updated
01/19/2010
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