National Provider Identifier Database

DONNA PROHAZKA, MD – NPI #1710907142
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Contact Information

DONNA PROHAZKA, MD
1000 N OAK AVE
MARSHFIELD, WI  54449-5703
Phone: 715-387-5511
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Body Imaging 2085B0100X
Diagnostic Ultrasound 2085U0001X

* Indicates primary specialty

NPI Profile & details for DONNA PROHAZKA

NPI Number 1710907142
Credentials MD
Entity Individual
Enumeration date 07/20/2006
Last updated 03/10/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • MO License #: 117502
  • WI License #: 53021
  • MO Medicaid: 203840202
  • Other: 5106488 AETNA
  • Other: 1853 BLUE CROSS BLUE SHIELD
  • Other: 11377 ESSENCE
  • Other: 250846 HARMONY ID NUMBER
  • Other: 75030 HEALTH ALLIANCE
  • Other: 434759 HEALTHLINK
  • Other: 300092272 MEDICARE RAILROAD MO
Hospital affiliation n/a

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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