Individual
CASSANDRA DONATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3300 WESTHILL DR, WAUSAU, WI 54401-4710
(715) 843-1039
Mailing address
750 HIGHLAND AVE, MADISON, WI 53705-2221
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5187-23
WI
Other
Enumeration date
03/03/2020
Last updated
03/23/2021
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