Individual
WILLIAM N DONOVAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2844 INDEX RD, FITCHBURG, WI 53713-3117
(608) 229-7979
(608) 229-8110
Mailing address
2844 INDEX RD, FITCHBURG, WI 53713-3117
(608) 229-7979
(608) 229-8110
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
24149-020
WI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
24149-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30405300
—
WI
01
—
P01735864
RAILROAD MEDICARE
WI
Enumeration date
05/19/2006
Last updated
12/09/2016
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