Individual
DENNIS DEAN ELMERGREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
W12802 COUNTY ROAD A, BOWLER, WI 54416-9551
(715) 793-4144
(715) 793-4120
Mailing address
3911 CRESTWOOD DR, WAUSAU, WI 54403-2399
(175) 675-3807
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
1260-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39200800
—
WI
Enumeration date
11/17/2006
Last updated
07/08/2007
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