NPI 1053578682

Todd Alan Derksen, DPM

Practitioner Foot & Ankle Surgery Podiatrist Appleton, WI

Practice location

Address: 1301 E Northland Ave STE B, Appleton, WI 54911
Phone: (920) 731-1999
Fax: (920) 731-3729

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 953-25 (WI)

Other Podiatrist providers in Wisconsin →

Registry record

NPI: 1053578682
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 May 2008
Record last updated: 19 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.