| Kenneth Dell Dembny Ii, MD | |
|
201 N Mayfair Rd, Suite 530, Wauwatosa, WI 53226-4216 | |
| (414) 443-0033 | |
| (414) 443-0034 |
| Full Name | Kenneth Dell Dembny Ii |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 201 N Mayfair Rd, Wauwatosa, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851367585 | NPI | - | NPPES |
| 33331000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 35379020 (Wisconsin) | Primary |
| Entity Name | Cj Hussussian Md Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831260405 PECOS PAC ID: 1456339993 Enrollment ID: O20040710000316 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Dell Dembny Ii, MD 13405 Juneau Blvd, Elm Grove, WI 53122-1723 Ph: (262) 797-6176 | Kenneth Dell Dembny Ii, MD 201 N Mayfair Rd, Suite 530, Wauwatosa, WI 53226-4216 Ph: (414) 443-0033 |
Dr. Ruedi Peter Gingrass, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 7130 Wellauer Dr, Wauwatosa, WI 53213 Phone: 414-258-5757 | |
George Albert Flores, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1155 N Mayfair Rd, Wauwatosa, WI 53226 Phone: 956-252-1199 | |
Harvey Michael Bock, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 201 N Mayfair Rd, Suite 530, Wauwatosa, WI 53226 Phone: 414-443-0033 Fax: 414-443-0034 |