DAVID A EDMONDSON, DO, Allergy WAUSAU, WI

Contact Information

DAVID A EDMONDSON, DO

512 S 28TH AVE
WAUSAU, WI 54401-4147

Phone: 715-847-2021
Fax: 715-847-2325
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Allergy	207KA0200X	03	Physician/Allergy/ Immunology
Clinical & Laboratory Immunology	207KI0005X	03	Physician/Allergy/ Immunology

Indicates primary specialty

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NPI Profile & details for DAVID A EDMONDSON · (Male)

NPI Number	`1124079033`
Status	Active
Credentials	DO (Doctor of Osteopathic)
Entity	Individual
Enumeration date	05/15/2006
Last updated	04/13/2020 - About 6 years ago
Sole proprietor ¹	No
Identifiers	WI License # 45109 Other 008906261N HUMANA
Hospital affiliation(s)	ASPIRUS WAUSAU HOSPITAL - (Acute Care) 333 PINE RIDGE BLVD WAUSAU, WI 54401 MINISTRY ST MARYS HOSPITAL - (Acute Care) 2251 NORTH SHORE DR RHINELANDER, WI 54501

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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