Zagrodnik, Dennis Frederick

Zagrodnik, Dennis Frederick is an individual health care provider with primary practice located at 36500 Aurora Dr , Summit WI 53066-4899. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Zagrodnik, Dennis Frederick can be contacted via phone (262) 434-5000.

Contact Information

Primary practice address
36500 Aurora Dr Summit WI 53066-4899
Fax: (262) 434-7250
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 49528-020 Wisconsin

Profile Details

NPI number 1538155569
LBN Legal business name Zagrodnik, Dennis Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jul 2nd, 2024 - about 4 months 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 1538155569 NPPES
Wisconsin MEDICAID 34900300

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