| Doctor Name: | DENNIS DEAN ELMERGREEN |
| NPI Number: | 1922172675 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY. D. |
| License Number: | 1260-057 |
| Business Practice Address: | W12802 County Road A Bowler, WI - 544169551 |
| Business Phone Number: | 7157934144 |
| Business Fax Number: | 7157934120 |
| Mailing Address: | 3911 Crestwood Dr, WAUSAU |
| State: | WI |
| Postal Code: | 544032399 |
| Phone Number: | 1756753807 |
| Fax Number: | |
| NPI Enumeration Date: | 11/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0000X |
| License Number: | 1260-057 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |