Individual
DR. DANA M DERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
6508 W LINCOLN AVE, WEST ALLIS, WI 53219-2045
(414) 328-1734
(414) 328-3166
Mailing address
6508 W LINCOLN AVE, WEST ALLIS, WI 53219-2045
(414) 328-1734
(414) 328-3166
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4546-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WI2798001
MEDICARE PTAN
WI
Enumeration date
01/29/2010
Last updated
05/07/2026
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