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

Dr. Mark Deruiter, PHD

Individual provider Audiologist · NPI 1447458831

Dr. Mark Deruiter, PHD is an Audiologist in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

164 Pillsbury Dr SE 115 Shevlin Hall
Minneapolis, MN 55455-0279
Phone: (612) 624-5755
Fax: (612) 624-7586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 5987 (MN)

Record details

NPI number1447458831
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 6, 2007
Last updated in NPPESSeptember 6, 2007
Mailing address164 Pillsbury Dr Se, Minneapolis, MN 55455-0279

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