IndividualActive
Derek Wakeman, M.D.
NPI 1649483181 · Pediatric Surgery Physician · Rochester, NY
Provider details
- NPI number
- 1649483181
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2006015616 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
601 Elmwood Ave
Box Surg
Rochester, NY 14642-0001
Phone: (585) 273-1753
Fax: (585) 276-2370
Approximate (ZIP-level) locationGet directions
Mailing address
601 Elmwood Ave
Rochester, NY 14642-0001
Registry dates
- Enumerated
- 2007-05-08
- Last updated
- 2023-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.