Individual
MICHAEL JAMES DERR
Active
Individual
MICHAEL JAMES DERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
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
Update your record
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