Mohammed Dodwad, MD | |
900 College Ave W, Ladysmith, WI 54848-2116 | |
(715) 532-5561 | |
(715) 532-9809 |
Full Name | Mohammed Dodwad |
---|---|
Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 900 College Ave W, Ladysmith, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669407649 | NPI | - | NPPES |
33310900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 36597 (Wisconsin) | Primary |
Entity Name | Memorial Hospital Of Boscobel |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760459846 PECOS PAC ID: 8325957673 Enrollment ID: O20040115000725 |
Mailing Address | Practice Location Address |
---|---|
Mohammed Dodwad, MD 5753 Dawley Dr, Fitchburg, WI 53711-7221 Ph: (608) 276-9868 | Mohammed Dodwad, MD 900 College Ave W, Ladysmith, WI 54848-2116 Ph: (715) 532-5561 |
Andrey Mironenko, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 Port Arthur Rd, Ladysmith, WI 54848 Phone: 715-532-2300 | |
Allen S. Hanson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 906 College Ave W, Ladysmith, WI 54848 Phone: 715-532-2300 | |
Kristin E Verville, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 900 College Ave W, Ladysmith, WI 54848 Phone: 715-532-2300 | |
Jaime Dawn Miller, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 College Ave W, Ladysmith, WI 54848 Phone: 715-532-5561 | |
Inimfon Udoh, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 Port Arthur Rd, Ladysmith, WI 54848 Phone: 715-532-5561 | |
Dr. R Timothy Fitzner, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 900 College Ave W, Ladysmith, WI 54848 Phone: 715-532-5561 Fax: 715-532-9809 |