Derek Wallenstein
Derek Wallenstein is a Specialist in Fargo, North Dakota. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
1635 43rd St S Ste 105Fargo, ND 58103-3579
Phone: (701) 412-2973
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|---|
| Specialist | Taxonomy 174400000X |
Record details
| NPI number | 1689271371 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 6, 2020 |
| Last updated in NPPES | September 11, 2025 |
| Certification date | September 11, 2025 |
| Mailing address | 1547 30th Ave S, Moorhead, MN 56560-5149 |
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