Individual
MICHAEL JAMES DERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
49963
MN
208VP0014X
Interventional Pain Medicine Physician
8066451-1204
UT
208VP0014X
Interventional Pain Medicine Physician
OS 11219
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298692000
—
MN
Enumeration date
11/07/2006
Last updated
10/24/2023
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