Individual
MR. DEREK STEVEN WAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, BOX SURG, ROCHESTER, NY 14642-0001
(585) 273-1753
(585) 276-2370
Mailing address
601 ELMWOOD AVE, BOX SURG, ROCHESTER, NY 14642-0001
(585) 273-1753
(585) 276-2370
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2006015616
MO
2086S0120X
Pediatric Surgery Physician
Primary
283192
NY
Other
Enumeration date
05/08/2007
Last updated
06/29/2023
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