Wonder, Douglas C
Wonder, Douglas C is an individual health care provider with primary practice located at 145 N Main St , Fond Du Lac WI 54935-3423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wonder, Douglas C can be contacted via phone (920) 926-8492.Contact Information
Primary practice address
145 N Main St
Fond Du Lac WI 54935-3423
Phone: (920) 926-8492
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 28619 | Wisconsin |
Profile Details
| NPI number | 1952398679 |
|---|---|
| LBN Legal business name | Wonder, Douglas C |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Oct 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952398679 | NPPES |
| Wisconsin | MEDICAID | 30043800 | |
| Wisconsin | Other | P00414065 |
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