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Individual

PEARSE DERRIG

Active
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Individual

PEARSE DERRIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35952
IA
2085R0202X
Diagnostic Radiology Physician
Primary
45406
WI
2085R0202X
Diagnostic Radiology Physician
49397
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34385200
WI
Enumeration date
06/15/2005
Last updated
12/28/2017
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