Individual
DERRICK SEAN VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2814 S 108TH ST, MILWAUKEE, WI 53227-3224
(414) 885-3525
Mailing address
2814 S 108TH ST, MILWAUKEE, WI 53227-3224
(414) 885-3525
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1126713-30
WI
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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