Christopher T Deroche (NPI# 1790763779, PAC ID# 3476551573) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1790763779 |
| PAC ID by PECOS | 3476551573 |
| Professional Enrollment ID | I20071029000388 |
| Full Name | Christopher T Deroche |
| Address |
2020 County Rd Hh Plover WI 54467-2653 |
| Gender | M |
| Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521334 | RIVERSIDE MEDICAL CENTER |
| 521326 | NEW LONDON FAMILY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2020 County Rd Hh, Plover, WI 54467-2653 |
| Street Address |
2020 COUNTY RD HH |
| City | PLOVER |
| State | WI |
| Zip | 54467-2653 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric James Liazuk | Chiropractic | 1840 Post Rd, Suite 6, Plover, WI 54467-2832 | |
| Leo O Powers | Chiropractic | 2585 Post Rd, Plover, WI 54467-3334 | |
| Mark S Ensweiler | Chiropractic | Lotus Healing Arts LLC | 2610 Post Rd, Plover, WI 54467-3388 |
| Charity A Millard | Chiropractic | Lotus Healing Arts LLC | 2610 Post Rd, Plover, WI 54467-3388 |
| Larry J Woods | Optometry | 2801 Willow Dr, Plover, WI 54467-3403 | |
| Elise R Gorski | Physician Assistant | Ascension St Michael's Hospital Inc | 2401 Plover Rd, Plover, WI 54467-3916 |
| Jennifer M Schoepke | Nurse Practitioner | Ascension St Michael's Hospital Inc | 2401 Plover Rd, Plover, WI 54467-3916 |
| Timothy J Wirtz | Family Medicine | Ascension St Michael's Hospital Inc | 2401 Plover Rd, Plover, WI 54467-3916 |
| Bolanle O Gbadebo | Family Medicine | Ascension St Michael's Hospital Inc | 2401 Plover Rd, Plover, WI 54467-3916 |
| Maria N Mercado | Nurse Practitioner | Ascension St Michael's Hospital Inc | 2401 Plover Rd, Plover, WI 54467-3916 |
| Find all physicians in zip 54467 | |||
| City | PLOVER |
| Zip Code | 54467 |
| Specialty | PODIATRY |
| City + Specialty | PLOVER + PODIATRY |
Please comment or provide details below to improve the information on Christopher T Deroche.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.