Individual
DR. STEVEN J. DONATELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 W RIVER WOODS PKWY STE 130, GLENDALE, WI 53212-1010
(414) 249-2420
(414) 961-0298
Mailing address
525 W RIVER WOODS PKWY STE 130, GLENDALE, WI 53212-1010
(414) 961-0304
(414) 961-2061
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
37794-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32256600
—
WI
Enumeration date
11/26/2005
Last updated
03/03/2021
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