HomeNPI Verification

NPI Verification

National Provider Identifier: 1679564660

Jeffrey A. Derus, MD

Individual Provider

Credentials

MD

Primary Specialty

Urology

Code: 208800000X

Practice Address

2801 W KINNICKINNIC RIVER PKWY

STE 370

MILWAUKEE, WI 532153669

Phone: 414-649-1280

NPI Enumeration Date

October 31, 2005

NPI Number

1679564660

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Jeffrey Derus, MD - NPI 1679564660 | Provider Verification | HormoneMap