David Resen Pathology Services S C

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

32951 Issued in WI

Legal business name

DAVID RESEN PATHOLOGY SERVICES S C

Practice address

8619 Edgewater RDG
Omro, WI 54963-9760

Phone

(920) 376-1255

NPI assigned

Nov 18, 2009

Last updated

Oct 28, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maribeth Resen

Title

Vice President

Phone

(920) 376-1255

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1619205390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8619 EDGEWATER RDG",
            "city": "OMRO",
            "state": "WI",
            "postal_code": "549639760",
            "telephone_number": "920-376-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8619 EDGEWATER RDG",
            "city": "OMRO",
            "state": "WI",
            "postal_code": "549639760",
            "telephone_number": "920-376-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID RESEN PATHOLOGY SERVICES S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "RESEN",
        "authorized_official_first_name": "MARIBETH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "920-376-1255"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WI",
            "license": "32951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lawrence Bosquez, D.C., CCEP
• Grace Etrel Boutin
• Kenneth Allen Bressers, R. PH.
• Emily Josephine Bulow, MS CCC-SLP
• Trevor Lee Chalfant, DC
• Edwin F Davis, D.C.
• Dennis L. Hunt Pharmacy Inc (Omro Pharmacy)
• Dna Home Healthcare LLC
• Brittany N Doucette, D.C.
• Dowling Dental Clinic of Omro, Inc.

• Anatomic Pathology & Clinical Pathology Physician in Omro, WI
• Providers in Omro, WI by specialty
• Anatomic Pathology & Clinical Pathology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.