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Individual

DR. JAMES A. DERKSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3080 ACKERMAN BLVD STE 210, DAYTON, OH 45429-3658
(937) 534-4201
(937) 291-6941
Mailing address
3080 ACKERMAN BLVD STE 210, DAYTON, OH 45429-3658
(937) 534-4201
(937) 291-6941

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35053994D
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0631089
OH
Enumeration date
04/13/2006
Last updated
02/06/2023
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