Doctor Name: | DONNA PROHAZKA |
NPI Number: | 1710907142 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 117502 |
Business Practice Address: | 1000 N Oak Ave Marshfield, WI - 544495703 |
Business Phone Number: | 7153875511 |
Business Fax Number: | |
Mailing Address: | 1000 N Oak Ave, MARSHFIELD |
State: | WI |
Postal Code: | 544495703 |
Phone Number: | 7153875511 |
Fax Number: | |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 03/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 117502 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |