Individual
DR. DONALD ALAN WOLLHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD WCC
Contact information
Practice address
N8748 HUSTISFORD RD, WATERTOWN, WI 53094-9554
(920) 261-4069
Mailing address
N8748 HUSTISFORD RD, WATERTOWN, WI 53094-9554
(920) 261-4069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20951020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30384200
—
WI
Enumeration date
08/11/2006
Last updated
04/26/2022
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