Individual
WILLMAR DAVISON PATINO CADAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 683-5278
(920) 686-9674
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
74186-20
WI
207ZD0900X
Dermatopathology (Pathology) Physician
74186-20
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
74186-20
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME108419
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0022466
INSTITUTIONAL PERMIT
—
Enumeration date
06/11/2007
Last updated
03/08/2023
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