Individual
KYLE M DENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(920) 219-4009
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1157
WI
213E00000X
Podiatrist
18380-875
WI
Other
Enumeration date
08/26/2019
Last updated
03/24/2025
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