Individual
OANA ENEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8424
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8343
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
74003-21
WI
208000000X
Pediatrics Physician
DO167349
OR
208000000X
Pediatrics Physician
R-9252
IA
Other
Enumeration date
06/22/2011
Last updated
10/20/2020
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