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Individual

MADISEN S DONOVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
207P00000X
WI
363A00000X
Physician Assistant
Primary
8682-23
WI

Other

Enumeration date
08/02/2025
Last updated
10/14/2025
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