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Individual

DR. DONALD L WACKWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 SCIENCE COURT, MADISON, WI 53711-1088
(608) 231-3410
(608) 231-3430
Mailing address
2 SCIENCE COURT, MADISON, WI 53711-1088
(608) 231-3410
(608) 231-3430

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
23289
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30611500
WI
Enumeration date
07/12/2006
Last updated
03/03/2010
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