Individual
MR. DONALD ERVIN LINNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
CENTER 4820 N SHERMAN ROAD, WINNEBAGO CORRECTION CENTER, DRUG ABUSE CORRECTIONAL, WINNEBAGO, WI 54985-0036
(920) 236-2700
(920) 426-5601
Mailing address
P.O. BOX 7925, 3099 E. WASHINGTON AVE, WISCONSIN DEPT OF CORRECTIONS BUREAU OF HEALTH SERVICES, MADISON, WI 53707-7925
(608) 240-5000
(608) 240-3311
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5002018
WI
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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