Griffin, Dana M

Griffin, Dana M is an individual health care provider with primary practice located at 1151 Warwick Way , Racine WI 53406-5661. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Griffin, Dana M can be contacted via phone (262) 321-6300.

Contact Information

Primary practice address
1151 Warwick Way Racine WI 53406-5661
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 125.061562 Illinois
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 67748 Wisconsin

Profile Details

NPI number 1265798060
LBN Legal business name Griffin, Dana M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2012
Last updated Oct 18th, 2023 - about last year

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 1265798060 NPPES
Wisconsin MEDICAID 100072198

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