MEDICARE: DENNIS M DREHNER DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0213X	Pediatric Pathology Physician	41867	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578556643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS M DREHNER DO

Provider Business Mailing Address
First Line	:	P.O. BOX 191
Second Line	:	PROVIDER ENROLLMENT DEPARTMENT
City	:	ROCKLAND
State	:	DE
Zip	:	19732-0191
Country	:	US
Telephone Number	:	651-855-2109
Fax Number	:	302-651-4945

Provider Business Practice Location Address
First Line	:	1717 S. ORANGE AVE., SUITE 100
Second Line	:	NEMOURS CHILDRENS CLINIC, ORLANDO
City	:	ORLANDO
State	:	FL
Zip	:	32806-2946
Country	:	US
Telephone Number	:	407-650-7715
Fax Number	:	407-650-7124

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	10/24/2012

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