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Individual

DR. DEREK DOUGLAS KANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD MS

Contact information

Practice address
310 N 10TH ST, BISMARCK, ND 58501-4516
(701) 877-2040
(701) 639-2465
Mailing address
301 N. 10TH ST, BISMARCK, ND 58501
(701) 877-2040
(701) 639-2465

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
11265
ND
208600000X
Surgery Physician
48821-020
WI

Other

Enumeration date
10/29/2006
Last updated
02/02/2022
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