DENNIS DEAN ELMERGREEN


Address: W12802 County Road A, Bowler, WI 54416-9551
Phone: 7157934144

DENNIS DEAN ELMERGREEN (NPI# 1922172675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922172675
Entity Type Individual
Full Name DENNIS DEAN ELMERGREEN
Credential PSY. D.
Practice Address W12802 County Road A
Bowler
WI 54416-9551
Mailing Address 3911 Crestwood Dr
Wausau
WI 54403-2399
Practice Telephone 7157934144
Practice Fax Number 7157934120
Mailing Telephone 1756753807
Enumeration Date 2006-11-17
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TF0000X Psychologist
Specialization: Family
1260-057 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 39200800 05

Other Providers DENNIS ELMERGREEN

NPI Name Taxonomy Address Enumeration
1588218861 Dennis R Elmergreen Counselor 5109 World Dairy Dr, Madison, WI 53718-3807 2019-07-25

Office Location

Street Address W12802 COUNTY ROAD A
City BOWLER
State WI
Zip Code 54416-9551

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063512382 Debra Anne Safford Nurse Practitioner W12802 County Road A, Bowler, WI 54416-9551 2006-09-25
1730788555 Seth Evans Pharmacy W12802 County Road A, Bowler, WI 54416-9551 2020-10-22
1619455607 Krystyna Diane Ostrowski Nurse Practitioner W12802 County Road A, Bowler, WI 54416-9551 2018-08-01
1053854885 Casey Mitchell Dietitian, Registered W12802 County Road A, Bowler, WI 54416-9551 2016-11-28
1174976179 Sheena Spencer Dental Hygienist W12802 County Road A, Bowler, WI 54416-9551 2016-07-14
1164821260 Katie Kaczmarski Pharmacist W12802 County Road A, Bowler, WI 54416-9551 2014-08-14
1124359872 Kristin A D'acquisto Dental Hygienist W12802 County Road A, Bowler, WI 54416-9551 2010-01-20
1033440953 Mary Rose Murray Dietitian, Registered W12802 County Road A, Bowler, WI 54416-9551 2010-01-15
1033367685 Toni L Montez Dental Hygienist W12802 County Road A, Bowler, WI 54416-9551 2008-09-08
1740438688 Mary K Danner Dental Hygienist W12802 County Road A, Bowler, WI 54416-9551 2008-09-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730602442 Jennifer Potts Counselor 6200 Excelsior Blvd Ste 204, St. Louis Park, MN 54416 2017-07-25
1285020701 Donna L Powless Counselor W12802 Cty Hwy A, Bowler, WI 54416 2015-04-10
1174518385 Thomas Paul Wargo Chiropractor W12802 County Highway A, Bowler, WI 54416 2005-09-14
1629070180 Stockbridge Munsee Community Clinic/Center W12802 Cty Rd A, Bowler, WI 54416 2005-08-15
1720646433 Jodie Colleen Skenandore Counselor W12802 County Highway A, Bowler, WI 54416 2019-05-29
1033677216 Marlene B Miller Counselor W12802 County Highway A, Bowler, WI 54416 2019-03-07
1952891020 Whitney Marie Schreiber Registered Nurse W12802 Cty Hwy A, Bowler, WI 54416 2018-05-15
1245686047 Stockbridge Munsee Health and Wellness Center Clinic/Center W12802 Cty Hwy A, Bowler, WI 54416 2016-05-11
1013398387 Paul Favela Dentist W12802 Cty Hwy A, Bowler, WI 54416 2015-06-12
1659767382 Stockbridge-munsee Health and Wellness Center Clinic/Center W12802 County Highway A, Bowler, WI 54416 2015-04-09
Find all providers in zip 54416

Taxonomy Information

Taxonomy Code 103TF0000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255398541 Rae J Schilling Psychologist 914 Porter Ave Suite 2, Porter Place, Eau Claire, WI 54701-0814 2006-04-28
1326268236 Deborah A Stec Phd Inc Psychologist 2717 N Grandview Blvd, Ste 202, Waukesha, WI 53188 2007-04-26
1649210360 Lorraine T Broll Psychologist 7633 Ganser Way, Ste 204, Madison, WI 53719-2092 2006-06-08
1801841531 Dennis J Butler Psychologist 1121 E North Ave, Columbia-st. Mary's Family Practice, Milwaukee, WI 53212-3515 2006-05-23
1154375442 Theresa A Drewniak Psychologist 2400 W Villard Ave, Wheaton Franciscan Glendale Family Care Center, Milwaukee, WI 53209-4901 2006-05-20

Competitor

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City BOWLER
Zip Code 54416

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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