Individual
SYLVIA J. DENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 E 5TH AVE, ANTIGO, WI 54409-2710
(715) 623-2351
Mailing address
110 E 5TH AVE, ANTIGO, WI 54409-2710
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
44166-20
WI
2084P0802X
Addiction Psychiatry Physician
44166-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34264800
—
WI
Enumeration date
05/17/2006
Last updated
12/07/2015
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