Search › Wisconsin › 207Q00000X
Donn Dougherty, M.D
NPI 1992735351 · on the registry since 2006 · sole proprietor
Practice
- Address
- 760 Pilgrim Way
Green Bay, WI 54304 - Phone
- (920) 496-4700
- Organisation at this address
- Prevea Clinic, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- MI, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-02-26
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