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Contact Information

KERRY S DERNBACH, DPM
3501 CRANBERRY BLVD
WESTON, WI54476
 Phone: 715-393-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for KERRY S DERNBACH · (Female)

NPI # 1306944152
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 09/20/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 900
  • WI Medicaid 43239100
Hospital affiliation(s)
  • ST CLARE'S HOSPITAL OF WESTON INC - (Acute Care)
    3400 MINISTRY PARKWAY
    WESTON, WI 54476
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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