Individual
DR. DAVID ALEXIS CALDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
845 PARKSIDE ST, RIPON, WI 54971-8505
(920) 748-3101
(920) 745-7923
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 745-3440
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
42796-20
WI
207Q00000X
Family Medicine Physician
42796-020
WI
Other
Enumeration date
06/07/2006
Last updated
12/09/2020
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