Dernbach, William K

Dernbach, William K is an individual health care provider with primary practice located at 2727 Plaza Drive , Wausau WI 54401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dernbach, William K can be contacted via phone (715) 847-3271.

Contact Information

Primary practice address
2727 Plaza Drive Wausau WI 54401
Phone: (715) 847-3271
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 18092 Wisconsin
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 18092 Wisconsin

Profile Details

NPI number 1255431631
LBN Legal business name Dernbach, William K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255431631 NPPES
Wisconsin MEDICAID 31131500

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