Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MYRIAM JACYNTHE DONOVITCH, M.D
ActiveDR. MYRIAM JACYNTHE DONOVITCH, M.D is a Sports Medicine healthcare provider located in KENOSHA, Wisconsin. NPI 1093332389 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · KENOSHA, WI
Registration Details
- NPI Number
- 1093332389
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 2, 2020 (6.0823030433916 yrs)
- Last Updated
- Nov 11, 2024
- License
-
83968-20 (WI)
Practice Information
- Address
-
7401 104TH AVE STE 110KENOSHA, WI, 531427845Browse WI providers · Browse ZIP 53142
- Phone
- 2627645595
- Primary Specialty
-
Sports Medicine
207QS0010X
Other Sports Medicine Providers in KENOSHA, WI
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN CHARLES PICK-JACOBS | D.O. | 1255607057 |
| DR. ALTAMASH TARIQ IFTIKHAR | D.O. | 1821431859 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.