Organization
DENNIS G VINCENT M D S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS GALEN VINCENT MD (PRESIDENT)
(262) 827-3144
Entity
Organization
Contact information
Practice address
14555 W NATIONAL AVE, STE 175, NEW BERLIN, WI 53157-4484
(262) 827-3144
(262) 827-3150
Mailing address
14555 W NATIONAL AVE, STE 175, NEW BERLIN, WI 53157-4484
(262) 827-3144
(262) 827-3150
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
29313 020
WI
2086S0129X
Vascular Surgery Physician
29313 020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31409900
—
WI
Enumeration date
11/14/2005
Last updated
11/20/2008
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