Organization
DOENIER FAMILY MEDICINE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD M DOENIER MD (PHYSICIAN)
(262) 446-0955
Entity
Organization
Contact information
Practice address
1111 DELAFIELD ST STE 300, WAUKESHA, WI 53188-3407
(262) 446-0955
(262) 446-0055
Mailing address
1111 DELAFIELD ST STE 300, WAUKESHA, WI 53188-3407
(262) 446-0955
(262) 446-0055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33378
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508046517
—
WI
Enumeration date
11/07/2007
Last updated
11/29/2022
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