Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID A EDMONDSON, DO
ActiveDR. DAVID A EDMONDSON, DO is a Allergy healthcare provider located in WAUSAU, Wisconsin. NPI 1124079033 is currently active in the NPPES registry. Verify at CMS.
Allergy · WAUSAU, WI
Registration Details
- NPI Number
- 1124079033
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2006 (20.248883219495 yrs)
- Last Updated
- Apr 13, 2020
- Licenses
-
45109 (WI)45109 (WI)
Practice Information
- Address
-
512 S 28TH AVEWAUSAU, WI, 544014147Browse WI providers · Browse ZIP 54401
- Phone
- 7158472021
- Fax
- 7158472325
- Primary Specialty
-
Allergy
207KA0200X
- Additional Specialty
- Clinical & Laboratory Immunology
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.