Individual
DEVON SANGER DANNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11040 N STATE RD 77, HAYWARD, WI 54843-3603
(715) 934-4910
(715) 934-4620
Mailing address
11040 N STATE RD 77, HAYWARD, WI 54843-3606
(715) 934-4910
(715) 934-4620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56376
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0137428
MEDICA
—
01
—
1649447467
BCBS
MN
01
—
1649447467
GROUP HEALTH
WI
05
—
1649447467
—
MN
01
—
P00767181
MEDICARE RAILROAD
—
Enumeration date
05/12/2008
Last updated
06/01/2023
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