Douglas C Wonder in Fond Du Lac - Family Medicine
Douglas C Wonder - NPI 1952398679
Douglas C Wonder is a Family Medicine in Fond Du Lac, Wisconsin. Douglas C Wonder practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Douglas C Wonder is 1952398679. The last update date is 2020-10-22.
Douglas C Wonder's current location address is 145 N Main St, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209268492. The mailing address for Douglas C Wonder is 145 N Main St, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas C Wonder |
|---|---|
| Address | 145 N Main St, Fond Du Lac, Wisconsin |
| Phone Number | 9209268492 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1952398679 |
|---|---|
| Provider Enumeration Date | 2005-09-29 |
| Last Updated Date | 2020-10-22 |
Provider Mailing Address Detail
| Address | 145 N Main St |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 549353423 |
| Phone Number | 9209268492 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 28619 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30043800 | WI | -- | |
| P00414065 | WI | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Douglas C Wonder?
The Douglas C Wonder has been issued the NPI (National Provider Identifier) 1952398679 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Douglas C Wonder is physically located?
The Douglas C Wonder is physically situated at the following address: 145 N Main St, Fond Du Lac, WI, 549353423.
What is Douglas C Wonder's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Douglas C Wonder is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Douglas C Wonder receive the assignment of its 1952398679 from the Centers for Medicare & Medicaid Services?
The Douglas C Wonder was issued its 1952398679 by the Centers for Medicare & Medicaid Services on 2005-09-29.
As of what date was the information pertaining to Douglas C Wonder, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Douglas C Wonder, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-10-22.
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