Individual
MR. OWEN MARTIN DORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
333 EAST CAMPUS MALL, #5123, MADISON, WI 53715-1381
(608) 262-2948
(608) 262-0674
Mailing address
333 EAST CAMPUS MALL, #5123, MADISON, WI 53715-1381
(608) 262-2948
(608) 262-0674
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
737
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255396941
—
WI
Enumeration date
04/18/2006
Last updated
02/10/2023
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