Individual
DR. DONNA ANNE HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
117 W BLACKHAWK AVE, PRAIRIE DU CHIEN, WI 53821-1422
(608) 326-6223
Mailing address
PO BOX 379, PRAIRIE DU CHIEN, WI 53821-0379
(608) 326-6223
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1771035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0901207
—
IA
05
—
38512800
—
WI
01
—
3913931450001
TRICARE
WI
01
—
410020343
PALMETTO GBA - RAILROAD MEDICARE
WI
Enumeration date
08/03/2005
Last updated
05/12/2008
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