Individual
KENNETH DELL DEMBNY II
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 N MAYFAIR RD, SUITE 530, WAUWATOSA, WI 53226-4216
(414) 443-0033
(414) 443-0034
Mailing address
13405 JUNEAU BLVD, ELM GROVE, WI 53122-1723
(262) 797-6176
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
35379020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33331000
—
WI
Enumeration date
02/23/2006
Last updated
07/08/2007
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