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Dr. Dana M Derrick, DC
Chiropractor in West Allis, Wisconsin
NPI 1730410838

Dana M Derrick is a Chiropractor based in West Allis, WI. Dana M Derrick practices in West Allis, WI and has the professional credentials of DC. The NPI Number for Dana M Derrick is 1730410838 and holds a License No. 4546-012 (Wisconsin).

The current practice location address for Dana M Derrick is 6508 W Lincoln Ave, West Allis, WI and can be reached out via phone at 414-328-1734 and via fax at 414-328-3166.

Location: 6508 W Lincoln Ave, West Allis, WI, 53219-2045
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730410838
Provider Name
Dana M Derrick
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
6508 W Lincoln Ave, West Allis, WI, 53219-2045
Phone Number
414-328-1734
Fax Number
414-328-3166
Provider Enumeration Date
01/29/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
WI2798001 01 WI MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
6508 W Lincoln Ave
City
West Allis
State
Wisconsin
Zip
53219-2045
Phone Number
414-328-1734
Fax Number
414-328-3166
person
Provider Business Mailing Address Details
Address
6508 W Lincoln Ave
City
West Allis
State
Wisconsin
Zip
53219-2045
Phone Number
414-328-1734
Fax Number
414-328-3166
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4546-012 (Wisconsin)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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