Individual
MR. DONALD EDWARD ROMSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5801 WASHINGTON AVENUE, SUITE 102, RACINE, WI 53406
(262) 886-0147
(262) 886-0570
Mailing address
5801 WASHINGTON AVENUE, SUITE 102, RACINE, WI 53406
(262) 886-0147
(262) 886-0570
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0002539
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33421300
—
WI
01
—
8000024
UHC
—
Enumeration date
12/07/2006
Last updated
07/08/2007
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