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Contact Information

DONNA PROHAZKA, MD
1000 N OAK AVE
MARSHFIELD, WI54449-5703
 Phone: 715-387-5511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
 

Diagnostic Ultrasound

2085U0001X
Indicates primary specialty

NPI Profile & details for DONNA PROHAZKA · (Female)

NPI # 1710907142
Status Active
Credentials MD
Entity Individual
Enumeration date 07/20/2006
Last updated 03/10/2011 - About 15 years ago
Sole proprietor 1 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(s) Not Available
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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