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1962962258
CARL SCOTT DERNELL
MILWAUKEE, WI
NPI
1962962258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: WI 75523)
Enumeration Date
2019-03-22
Last Update Date
2024-03-22
Business Address
Mr. CARL SCOTT DERNELL
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-6966
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Mailing Address
Mr. CARL SCOTT DERNELL
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone number: 414-805-6966
Copy
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