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Individual

DR. DONNA R DAUFENBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5333 DOUGLAS AVE, RACINE, WI 53402-2032
(262) 752-2100
(262) 752-2126
Mailing address
5333 DOUGLAS AVE, RACINE, WI 53402-2032
(262) 752-2100
(262) 752-2126

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
33374
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32111300
WI
Enumeration date
08/20/2006
Last updated
08/10/2023
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