Individual
DR. THOMAS M DERRIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 WALNUT RIDGE DR, HARTLAND, WI 53029
(262) 369-7040
(262) 369-7041
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
43080
WI
208600000X
Surgery Physician
7805
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34071100
—
WI
Enumeration date
08/20/2006
Last updated
09/25/2023
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