Mr. Derek Dale Raese
Mr. Derek Dale Raese is a Licensed Practical Nurse in New Berlin, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2019
Practice location Address checks out
16320 W Marietta DrNew Berlin, WI 53151-6594
Phone: (414) 640-1112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 321484 (WI) |
|---|
Record details
| NPI number | 1205309226 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 3, 2019 |
| Last updated in NPPES | January 3, 2019 |
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