Resen, David E

Resen, David E is an sole proprietor health care provider with primary practice located at 8619 Edgewater Rdg , Omro WI 54963-9760. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Resen, David E can be contacted via phone (920) 376-1256.

Contact Information

Primary practice address
8619 Edgewater Rdg Omro WI 54963-9760
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 32951 Wisconsin

Profile Details

NPI number 1255334330
LBN Legal business name Resen, David E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2005
Last updated Dec 11th, 2014 - about 10 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 1255334330 NPPES
Wisconsin MEDICAID 33321900

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