NPI 1124079033

David a Edmondson, DO

Practitioner Allergy Physician Wausau, WI

Practice location

Address: 512 S 28th Ave, Wausau, WI 54401-4147
Phone: (715) 847-2021
Fax: (715) 847-2325

Registered specialties (2)

Allergy Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence 45109 (WI)

Other Allergy & Immunology providers in Wisconsin →

Clinical & Laboratory Immunology (Allergy & Immunology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207KI0005X Licence 45109 (WI)

Registry record

NPI: 1124079033
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 2006
Record last updated: 13 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.