Individual
GERARD DERISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 KS HWY 264, LARNED, KS 67550-5353
(620) 285-4115
(620) 285-4579
Mailing address
1301 KS HWY 264, LARNED, KS 67550-5353
(620) 285-4115
(620) 285-4579
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0800282
KS
Other
Enumeration date
06/08/2006
Last updated
08/05/2008
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