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Contact Information

MYRIAM J DONOVITCH, MD
7401 104TH AVE STE 110
KENOSHA, WI53142-7845
 Phone: 262-764-5595
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MYRIAM J DONOVITCH · (Female)

NPI Number 1093332389
Status Active
Credentials MD
Entity Individual
Enumeration date 07/02/2020
Last updated 11/11/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WI License # 83968-20
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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