Individual
DR. DAVID D PFAFFENBACH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4801 EXPO DR, MANITOWOC, WI 54220-9341
(920) 684-4429
(920) 684-6892
Mailing address
4801 EXPO DR, MANITOWOC, WI 54220-9341
(920) 684-4429
(920) 684-6892
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17837
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0376640001
ADMINASTAR FEDERAL
WI
01
—
17837
TOUCHPOINT
WI
05
—
31124100
—
WI
Enumeration date
08/17/2005
Last updated
07/08/2007
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