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Dr. David A Edmondson, DO
Clinical & Laboratory Immunology (Allergy & Immunology) Physician in Wausau, Wisconsin
NPI 1124079033

David A Edmondson is a Clinical & Laboratory Immunology (Allergy & Immunology) Physician based in Wausau, WI and is specialized in Clinical & Laboratory Immunology. David A Edmondson practices in Wausau, WI and has the professional credentials of DO. The NPI Number for David A Edmondson is 1124079033 and holds a License No. 45109 (Wisconsin).

The current practice location address for David A Edmondson is 512 S 28Th Ave, Wausau, WI and can be reached out via phone at 715-847-2021 and via fax at 715-847-2325.

Location: 512 S 28Th Ave, Wausau, WI, 54401-4147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124079033
Provider Name
David A Edmondson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
512 S 28Th Ave, Wausau, WI, 54401-4147
Phone Number
715-847-2021
Fax Number
715-847-2325
Provider Enumeration Date
05/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008906261N 01 HUMANA
institution
Provider Business Practice Location Address Details
Address
512 S 28Th Ave
City
Wausau
State
Wisconsin
Zip
54401-4147
Phone Number
715-847-2021
Fax Number
715-847-2325
person
Provider Business Mailing Address Details
Address
512 S 28Th Ave
City
Wausau
State
Wisconsin
Zip
54401-4147
Phone Number
715-847-2021
Fax Number
715-847-2325
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
207KA0200X
License No.
45109 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Clinical & Laboratory Immunology
Taxonomy
207KI0005X
License No.
45109 (Wisconsin)
Definition
Definition to come...
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