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Individual

DEREK C WAYMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1001 7TH STREET NE, DEVILS LAKE, ND 58301-1100
(701) 662-2157
(701) 662-4116
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201-4183
(701) 780-1891

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9765
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
13868
ND
Enumeration date
09/22/2006
Last updated
09/24/2020
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