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Contact Information

DEREK GOERKE, MD
11850 BLACKFOOT ST NW STE 300
COON RAPIDS, MN55433-2772
 Phone: 763-236-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DEREK GOERKE · (Male)

NPI Number 1831519636
Status Active
Credentials MD
Entity Individual
Enumeration date 04/18/2014
Last updated 09/30/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 62180
Hospital affiliation(s)
  • BUFFALO HOSPITAL - (Acute Care)
    303 CATLIN ST
    BUFFALO, MN 55313
  • MERCY HOSPITAL - (Acute Care)
    4050 COON RAPIDS BLVD
    COON RAPIDS, MN 55433
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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