DR. M.D. Derek Steven Serna, NPI 1205044773
Hematology & Oncology Physician in Hartland, WI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1205044773
NPI Entity Type Individual
Provider Name DR. M.D. Derek Steven Serna
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1683 Whistling Hill Cir, Hartland, WI, US
Provider Mailing Address 1683 Whistling Hill Cir, Hartland, WI, US, 530292012
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207RH0003X

Taxonomy Name Hematology & Oncology Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 01069267A
License State IN
Description An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Business Address

DR. M.D. Derek Steven Serna
1683 Whistling Hill Cir

Hartland, WI, US

Phone: 414-520-5525
Fax: 614-346-3438

Mailing Address

DR. M.D. Derek Steven Serna
1683 Whistling Hill Cir
Hartland, WI, US
ZIP 530292012
Phone: 414-520-5525
Fax: 614-346-3438

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207RH0003X

Allopathic & Osteopathic Physicians

Internal Medicine

35091934 OH No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
201035110 IN MEDICAID 05
000000721848 IN ANTHEM 01

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1205582921

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Organization

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Organization

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Fort Healthcare, Inc

Organization

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611 Sherman Ave E

Fort Atkinson, WI

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