IndividualActive
Carl Dernell
NPI 1962962258 · Anatomic Pathology & Clinical Pathology Physician · Milwaukee, WI
Provider details
- NPI number
- 1962962258
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 75523 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 805-6966
Fax: (414) 805-6980
Approximate (ZIP-level) locationGet directions
Mailing address
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Registry dates
- Enumerated
- 2019-03-22
- Last updated
- 2024-03-22
- Certified
- 2024-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.