Dennis Charles Flood, PA
Physician Assistant, Medical in Rice Lake, WI. Individual provider (NPI-1).
NPI number1487093241
StatusActive
Last updated in NPPESApr 2, 2021
Details
- NPI
- 1487093241
- Entity type
- Individual (NPI-1)
- Name
- Dennis Charles Flood
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 14, 2013
- Certification date
- Apr 2, 2021
- Last updated
- Apr 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 3155-23 | WI | Yes |
Practice location
1700 W Stout StRice Lake, WI 54868-5000
Phone 715-234-1515
Mailing address
704 Pine PlRice Lake, WI 54868-2378
Phone 507-884-9118
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