Most Relevant Information
Provider Data
| NPI Number: | 1003265349 |
| Provider Name: | DEREK PRZYBYLSKI |
| Entity Type: | Individual |
| Taxonomy Code: | 363LN0000X |
| Specialty: | Nurse Practitioner |
| License Number: | R 235077-4 |
Most Important Dates
| Enumeration Date: | 06/07/2016 |
| Last Updated: | 06/07/2016 |
Provider Practice Location
2525 CHICAGO AVE
MINNEAPOLIS
MN
554044518
Practice Location Phone/Fax
| Phone: | 7152079330 |
| Fax: |
Provider Mailing Location
1174 SHADOW LN
GREEN BAY
WI
543043942
Provider Mailing Phone/Fax
| Phone: | 7152079330 |
| Fax: |