Misorski, David A
Misorski, David A is an individual health care provider with primary practice located at 400 Doctors Ct , Johnson Creek WI 53038-9567. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Misorski, David A can be contacted via phone (920) 699-4000.Contact Information
Primary practice address
400 Doctors Ct
Johnson Creek WI 53038-9567
Phone: (920) 699-4000
Fax: (920) 699-5355
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 33533 | Wisconsin |
Profile Details
NPI number | 1780791285 |
---|---|
LBN Legal business name | Misorski, David A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 23rd, 2006 |
Last updated | Mar 7th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780791285 | NPPES |
Wisconsin | MEDICAID | 31874800 |
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