Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANGELA DAWN DIVJAK, MD
ActiveANGELA DAWN DIVJAK, MD is a Family Medicine healthcare provider located in SHAWANO, Wisconsin. NPI 1639343973 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SHAWANO, WI
Registration Details
- NPI Number
- 1639343973
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 17, 2008 (18.312489218206 yrs)
- Last Updated
- Jul 16, 2012
- Licenses
-
57265-20 (WI)2008026576 (MO)
Practice Information
- Address
-
100 COUNTY ROAD BSHAWANO, WI, 541667072Browse WI providers · Browse ZIP 54166
- Phone
- 7155242161
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in SHAWANO, WI
| Name | Credential | NPI |
|---|---|---|
| KATHLEEN QUALHEIM | MD | 1386689008 |
| GREGORY THATCHER | MD | 1124054150 |
| TOD C LEWIS | MD | 1184651127 |
| THOMAS THOMAS | MD | 1457388233 |
| DR. RICHARD DENNIS SARNWICK | DO | 1013944891 |
| YU CHIN FANG | MD | 1780616896 |
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.