Individual
DIANA RENEE DOVORANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
945 N 12TH ST, AURORA SINAI EMERGENCY MEDICINE DEPARTMENT, MILWAUKEE, WI 53233-1305
(414) 219-2000
Mailing address
5890 TOWER RD APT 1, GREENDALE, WI 53129-1775
(262) 939-0407
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
61583-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100033910
—
WI
Enumeration date
03/23/2012
Last updated
03/19/2024
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