Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derrick J Sanderson

Individual provider Obstetrics & Gynecology Physician · NPI 1043577448

Derrick J Sanderson is an Obstetrics/Gynecology in Winona, Minnesota. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2012, 14 years ago. Practices with Gundersen Lutheran Medical Center Inc, a 896-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana, New York and Wisconsin.

Years since qualifying
14
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
IN, NY, WI
In the registry since
2012
Specialties on file
3

Practice location Address checks out

1122 W Highway 61
Winona, MN 55987-1957
Phone: (608) 782-7300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4199 Gateway Blvd Ste 3500, Newburgh, IN 47630-7909 — (812) 858-5950
  • 1540 Maple Rd, Williamsville, NY 14221-3647 — (716) 568-3600

Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (primary) Taxonomy 207VF0040X · Licence 81662 (WI)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 283330 (NY)
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Taxonomy 207VF0040X · Licence 02005887A (IN)

Record details

NPI number1043577448
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 23, 2012
Last updated in NPPESNovember 8, 2024
Certification dateNovember 8, 2024
Mailing address1836 South Ave, La Crosse, WI 54601-5429

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2012 (14 years in practice)
Group practice Gundersen Lutheran Medical Center Inc — 896 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Winona