Individual
TERRANCE E DONNAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6161
Mailing address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6161
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
46187
MN
207P00000X
Emergency Medicine Physician
46187
MN
207Q00000X
Family Medicine Physician
Primary
45889
WI
207Q00000X
Family Medicine Physician
46187
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071641300
—
MN
01
—
105K1D0
BLUE CROSS BLUE SHIELD
MN
05
—
1497771570
—
WI
01
—
34414700
MA
WI
Enumeration date
07/14/2006
Last updated
04/30/2021
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