Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. David J Dedrick, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1154360931

Dr. David J Dedrick, MD is a Pathology in Appleton, Wisconsin. Graduated from University of Wisconsin School of Medicine in 1994, 32 years ago. Practices with North Shore Pathologists SC, a 15-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
32
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1506 S Oneida St
Appleton, WI 54915-1305
Phone: (920) 738-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 38508-20 (WI)

Record details

NPI number1154360931
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2006
Last updated in NPPESNovember 1, 2022
Certification dateNovember 1, 2022
Mailing address2323 N Lake Dr, Milwaukee, WI 53211-4508

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice North Shore Pathologists Sc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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