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Donavan Hollenbeck

NPI 1225575301 · on the registry since 2017

Practice

Address
473 222nd Ave
Somerset, WI 54025
Phone
(715) 417-2055
Organisation at this address
Because There'S No Place Like Home, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Also registered as
372500000X
372600000X
3747A0650X
376J00000X
Sex
Male
Record last updated
2017-01-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin