Individual
DR. IVAN L MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
55941
WI
208600000X
Surgery Physician
59285
NJ
2086S0102X
Surgical Critical Care Physician
55941
WI
2086S0102X
Surgical Critical Care Physician
59285
NJ
2086S0127X
Trauma Surgery Physician
Primary
55941
WI
2086S0127X
Trauma Surgery Physician
59285
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518963347
—
WI
Enumeration date
06/27/2005
Last updated
04/23/2026
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