Maldonado, Ivan L

Maldonado, Ivan L is an individual health care provider with primary practice located at 1000 N Oak Ave , Marshfield WI 54449-5703. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Maldonado, Ivan L can be contacted via phone (715) 387-5511.

Contact Information

Primary practice address
1000 N Oak Ave Marshfield WI 54449-5703
Phone: (715) 387-5511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 55941 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 59285 New Jersey
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 59285 New Jersey
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 55941 Wisconsin
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 59285 New Jersey
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 55941 Wisconsin

Profile Details

NPI number 1518963347
LBN Legal business name Maldonado, Ivan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Nov 17th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518963347 NPPES
Wisconsin MEDICAID 1518963347

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