Individual
DEREK WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1610 MILLER PARK WAY, MILWAUKEE, WI 53214-3604
(414) 672-3801
(414) 672-6026
Mailing address
2510 S BURRELL ST, MILWAUKEE, WI 53207-1524
(317) 695-6458
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
193697-30
WI
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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