Individual
MARK JOHN DEHNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
595 COUNTY ROAD R, DENMARK, WI 54208-9529
(920) 863-2005
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
991
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
991-023
LICENSE
WV
Enumeration date
12/08/2005
Last updated
05/13/2021
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