Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 41526020 | WI |
N | 207PE0004X | Emergency Medical Services | 41526020 | WI |
N | 207PP0204X | Pediatric Emergency Physician | 41526020 | WI |
NPI | 1598719528 |
---|---|
Provider Name | Donna P Whitehouse |
First Address | Madison, WI 53716-2257 |
Second Address | Madison, WI 53716-2257 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 30/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
33330300 | (05) | WI |