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1083646608
STEPHEN R DERNLAN
APPLETON, WI
NPI
1083646608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WI 30115-020)
Enumeration Date
2006-07-06
Last Update Date
2023-06-01
Business Address
STEPHEN R DERNLAN MD
3916 N INTERTECH CT
APPLETON, WI 54913
Phone number: 920-996-1000
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Mailing Address
STEPHEN R DERNLAN MD
3916 N INTERTECH CT
APPLETON, WI 54913
Phone number: 920-996-1000
Copy
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