NPI 1114453552

Derek Anthony McLister, DPM

Practitioner Podiatrist Fargo, ND

Practice location

Address: 5225 23rd Ave S, Fargo, ND 58104-7927
Phone: (701) 417-2575
Mailing address: PO Box 5074, Sioux Falls, SD 57117-5074

Registered specialties (3)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 1068 (MN)

Other Podiatrist providers in North Dakota →

Orthopaedic Foot and Ankle Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207XX0004X Licence 86 (ND)

Other Orthopaedic Surgery providers in North Dakota →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in North Dakota →

Registry record

NPI: 1114453552
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 May 2017
Record last updated: 4 Apr 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.