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Individual

KERRY S DERNBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
3501 CRANBERRY BLVD, WESTON, WI 54476
(715) 393-1000
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
900
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43239100
WI
Enumeration date
09/20/2006
Last updated
07/08/2007
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