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Derick Duckworth
NPI 1972385300 · on the registry since 2023
Practice
- Address
- 3327 N Casaloma Dr Unit 197
Appleton, WI 54913 - Phone
- (360) 620-2644
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin