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Individual

DENNIS DEZIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
900 COLLEGE AVE W, LADYSMITH, WI 54848-2116
(715) 532-5561
(715) 532-9809
Mailing address
2631 80TH ST, FREDERIC, WI 54837-5310
(715) 472-2587

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30836
WI

Other

Enumeration date
07/27/2006
Last updated
07/09/2007
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