Individual
DEREK SCHENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1411 N TAYLOR DR, SHEBOYGAN, WI 53081-3043
(920) 496-4700
Mailing address
1411 N TAYLOR DR, SHEBOYGAN, WI 53081-3043
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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