Most Relevant Information
Provider Data
| NPI Number: | 1003801267 |
| Provider Name: | WILFRED DERKSEN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | C33691 |
Most Important Dates
| Enumeration Date: | 09/14/2005 |
| Last Updated: | 04/30/2008 |
Provider Practice Location
1570 E HERNDON AVE
FRESNO
CA
937203303
Practice Location Phone/Fax
| Phone: | 5594377300 |
| Fax: | 5594377153 |
Provider Mailing Location
PO BOX 28900
FRESNO
CA
937298900
Provider Mailing Phone/Fax
| Phone: | 5592284205 |
| Fax: | 5592243920 |
Suggested EMR
Pediatrics EMR