Individual
DONALD MARKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 S WASHBURN ST, OSHKOSH, WI 54904-7949
(920) 232-2332
Mailing address
505 S WASHBURN ST, OSHKOSH, WI 54904-7949
(920) 232-2332
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
226325-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740651330
—
WI
Enumeration date
12/12/2016
Last updated
12/12/2016
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