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Dr. Derek Anthony Mclister, DPM
Podiatrist in Fargo, North Dakota
NPI 1114453552

Derek Anthony Mclister is a Podiatrist based in Sioux Falls, ND. Derek Anthony Mclister practices in Fargo, ND and has the professional credentials of DPM. The NPI Number for Derek Anthony Mclister is 1114453552 and holds a License No. 86 (North Dakota).

The current practice location address for Derek Anthony Mclister is 5225 23Rd Ave S, Fargo, ND and can be reached out via phone at 701-417-2575. You can also correspond with Derek Anthony Mclister through the mailing address at PO BOX 5074, SIOUX FALLS, SD - 57117-5074 (mailing address contact number: ).

Location: 5225 23Rd Ave S, Fargo, ND, 57117-5074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114453552
Provider Name
Derek Anthony Mclister
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
5225 23Rd Ave S, Fargo, ND, 57117-5074
Phone Number
701-417-2575
Fax Number
Provider Enumeration Date
05/04/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5225 23Rd Ave S
City
Fargo
State
North Dakota
Zip
58104-7927
Phone Number
701-417-2575
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 5074
City
Sioux Falls
State
South Dakota
Zip
57117-5074
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Foot and Ankle Surgery
Taxonomy
207XX0004X
License No.
1068 (Minnesota)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
(North Dakota)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
86 (North Dakota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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