Individual
DENNIS GALEN VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14555 W NATIONAL AVE, STE 175, NEW BERLIN, WI 53151-4494
(262) 827-3144
(262) 827-3150
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
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
08/07/2007
Last updated
12/29/2010
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