Duellman, Todd Joseph

Duellman, Todd Joseph is an individual health care provider with primary practice located at 140 24Th St S , Wisconsin Rapids WI 54494-1906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Duellman, Todd Joseph can be contacted via phone (715) 424-1881.

Contact Information

Primary practice address
140 24Th St S Wisconsin Rapids WI 54494-1906
Fax: (715) 423-1602
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 125-042504 Illinois

Profile Details

NPI number 1467493296
LBN Legal business name Duellman, Todd Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Mar 24th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467493296 NPPES
Wisconsin MEDICAID 34866900
Wisconsin Other P00346189

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