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Individual

KATHLEEN DOYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2825 HUNTERS TRL, 1ST FLOOR, PORTAGE, WI 53901-3429
(608) 742-7161
(608) 745-3060
Mailing address
2825 HUNTERS TRL, PORTAGE, WI 53901-3429
(608) 742-7161
(608) 745-3060

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20386-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1000109
PHYSICIANS PLUS
WI
05
30231600
WI
01
9217
DEAN HEALTH INSURANCE
WI
Enumeration date
05/05/2006
Last updated
05/02/2008
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