Individual
EDNA O DEVRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
(715) 221-8819
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31300
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31626400
—
WI
Enumeration date
08/31/2006
Last updated
05/02/2024
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