Joshua Dolan (NPI# 1639508823, PAC ID# 1850604190) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1639508823 |
| PAC ID by PECOS | 1850604190 |
| Professional Enrollment ID | I20150716000358 |
| Full Name | Joshua Dolan |
| Organization Legal Name | DEER OAKS MINNESOTA LLC |
| Address |
1201 Garfield Ave Little Chute WI 54140-2048 |
| Phone Number | 9207885806 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 0840467684 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1105 Davidson Rd, Brookfield, WI 53045-6606 | 2626419020 | WELLQOR PSYCHOLOGICAL SERVICES OF WISCONSIN, S.C. |
| 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 4149621000 | MEDICAL PSYCHOLOGY ASSOCIATES, INC. |
| 1201 Garfield Ave, Little Chute, WI 54140-2048 | 9207885806 | DEER OAKS MINNESOTA LLC |
| Organization Legal Name | DEER OAKS MINNESOTA LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darcy L Wennes | Clinical Social Worker | Deer Oaks Minnesota LLC | 77 Stadium Rd, Mankato, MN 56001-6099 |
| Mark E Kleiman | Clinical Psychologist | Deer Oaks Minnesota LLC | 714 Southbend Ave, Mankato, MN 56001-5954 |
| John R Husted | Clinical Psychologist | Deer Oaks Minnesota LLC | 93 3rd St E, Morgan, MN 56266-1414 |
| Rebecca R Hinderscheid | Psychologist, Clinical | Deer Oaks Minnesota LLC | 935 Kenwood Ave, Duluth, MN 55811-4951 |
| Julianne Marie Davis | Psychologist, Clinical | Deer Oaks Minnesota LLC | 935 Kenwood Ave, Duluth, MN 55811-4951 |
| Street Address |
1201 GARFIELD AVE |
| City | LITTLE CHUTE |
| State | WI |
| Zip | 54140-2048 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul R Garcia | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 200 Patriot Dr, Little Chute, WI 54140-1184 |
| Kent L Partain | Rheumatology | Ascension Medical Group-fox Valley Wisconsin, Inc | 200 Patriot Dr, Little Chute, WI 54140-1184 |
| Chelsea A Hartmann | Physician Assistant | Ascension Medical Group-fox Valley Wisconsin, Inc | 200 Patriot Dr, Little Chute, WI 54140-1184 |
| Sarah J Busse | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 200 Patriot Dr, Little Chute, WI 54140-1184 |
| Courtney Forte | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 200 Patriot Dr, Little Chute, WI 54140-1184 |
| Maria Editha M Bautista-santos | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 200 Patriot Dr, Little Chute, WI 54140-1184 |
| Alexa L Juzenas | Physician Assistant | Ascension Medical Group-fox Valley Wisconsin, Inc | 200 Patriot Dr, Little Chute, WI 54140-1184 |
| Elzbieta Perry | Rheumatology | Ascension Medical Group-fox Valley Wisconsin, Inc | 200 Patriot Dr, Little Chute, WI 54140-1184 |
| Michael A Krueger | Family Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 200 Patriot Dr, Little Chute, WI 54140-1184 |
| Frank M Chybowski | Urology | Ascension Medical Group-fox Valley Wisconsin, Inc | 200 Patriot Dr, Little Chute, WI 54140-1184 |
| Find all physicians in zip 54140 | |||
| City | LITTLE CHUTE |
| Zip Code | 54140 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | LITTLE CHUTE + PSYCHOLOGIST, CLINICAL |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.