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DEREK FALK NP

Adult Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1073920633

Individual Registrant:
 DEREK  FALK NP
Gender: M
Not Sole Proprietor

Location and contact information for practice:
13924 WADAGA RD  BARAGA, MI 49908-9204 US
Tel: 906-353-7070  Fax: --

Contact information for business:
13924 WADAGA RD  BARAGA, MI 49908-9204 US
Tel: 906-353-7070  Fax: --

Registration Information:
NPI: 1073920633
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Adult Health
MI4704260522

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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