Provider Demographics
NPI:1366035628
Name:DRENDEL, HOLLI (PHD, FACMGG)
Entity Type:Individual
Prefix:DR
First Name:HOLLI
Middle Name:
Last Name:DRENDEL
Suffix:
Gender:F
Credentials:PHD, FACMGG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 N 88TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4615
Mailing Address - Country:US
Mailing Address - Phone:515-708-1604
Mailing Address - Fax:
Practice Address - Street 1:MEDICAL COLLEGE OF WISCONSIN, WDL BUILDING, RM 208
Practice Address - Street 2:9200 W. WISCONSIN AVE
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226
Practice Address - Country:US
Practice Address - Phone:414-805-4862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics