Individual
DEREK WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
507 S MAIN ST, VERNON MEMORIAL HOSPITAL, VIROQUA, WI 54665-2059
(608) 637-4385
(608) 637-4382
Mailing address
507 S MAIN ST, VERNON MEMORIAL HOSPITAL, VIROQUA, WI 54665-2059
(608) 637-4385
(608) 637-4382
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10989-24
WI
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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