Individual
DR. DERMOT J. MORE O'FERRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4131 W. LOOMIS RD., STE 300, GREENFIELD, WI 53221
(414) 325-7246
(414) 325-3770
Mailing address
4131 W. LOOMIS RD, STE 300, GREENFIELD, WI 53221-2059
(414) 325-7246
(414) 325-3770
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
43247
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34135600
—
WI
Enumeration date
03/01/2006
Last updated
02/24/2014
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