Individual
DR. MICHAEL W. DEGERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
421 CAMELOT DR, FOND DU LAC, WI 54935-8335
(920) 926-8616
(920) 926-8098
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
(920) 926-8370
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
36003567
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
841-25
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480033786
RAILROAD MEDICARE
—
Enumeration date
08/19/2006
Last updated
05/18/2012
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