Wall, Derek Brian

Wall, Derek Brian is an individual health care provider with primary practice located at 1000 Mineral Point Ave , Janesville WI 53548-2940. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Wall, Derek Brian can be contacted via phone (608) 756-6000.

Contact Information

Primary practice address
1000 Mineral Point Ave Janesville WI 53548-2940
Phone: (608) 756-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A64368 California
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 52043-20 Wisconsin

Profile Details

NPI number 1518937085
LBN Legal business name Wall, Derek Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jan 23rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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