MR. DONALD ERVIN LINNEMAN


Address: Center 4820 N Sherman Road, Winnebago Correction Center, Drug Abuse Correctional, Winnebago, WI 54985-0036
Phone: 9202362700

MR. DONALD ERVIN LINNEMAN (NPI# 1497266910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497266910
Entity Type Individual
Full Name MR. DONALD ERVIN LINNEMAN
Credential D.D.S.
Practice Address Center 4820 N Sherman Road
Winnebago Correction Center, Drug Abuse Correctional
Winnebago
WI 54985-0036
Mailing Address P.o. Box 7925, 3099 E. Washington Ave
Wisconsin Dept of Corrections Bureau of Health Services
Madison
WI 53707-7925
Practice Telephone 9202362700
Practice Fax Number 9204265601
Mailing Telephone 6082405000
Mailing Fax Number 6082403311
Enumeration Date 2017-10-24
Last Update Date 2017-10-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
5002018 WI Dental Providers

Office Location

Street Address CENTER 4820 N SHERMAN ROAD
WINNEBAGO CORRECTION CENTER, DRUG ABUSE CORRECTIONAL
City WINNEBAGO
State WI
Zip Code 54985-0036

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437315538 Emerald M Hauser Student in an Organized Health Care Education/Training Program 1300 South Treffert Drive, Winnebago, WI 54985 2008-07-29
1427231828 Carlo Gallo Gaanan Family Medicine 1505 North Drive, Winnebago, WI 54985 2007-12-10
1588781488 Paul J Barfknecht Pharmacist 1300 South Dr, Winnebago, WI 54985 2007-03-23
1265924161 Jeremiah Mobisa Gwaro Nurse Practitioner 1505 North Drive, Winnebago, WI 54985 2018-06-06
1932630985 Thomas Michlowski Psychiatry & Neurology 1505 North Drive, Winnebago, WI 54985 2017-03-22
1295094571 Julie Ann Thiel Pharmacist 1505 North Drive, Winnebago, WI 54985 2012-05-08
1992028948 Kaye Zwiacher Psychiatry & Neurology 1300 South Drive, Winnebago, WI 54985 2010-03-04
1669627089 Anthony M Lichtfuss Social Worker 1300 South Drive, Winnebago, WI 54985 2008-11-26
1124270947 Adam Matthew Berman Psychologist 2901 W Kinnickinnic River Parkway, Ste 516 Medical Psychology Association, Milwaukee, WI 54985 2008-10-13
1225214802 Dara B. Sitter Pharmacist 1300 South Dr., Winnebago, WI 54985 2008-01-14
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720569783 Greater Milwaukee Oral Surgery, L.L.C. Dentist 4811 S 76th St Ste 304, Greenfield, WI 53220-4350 2018-08-27
1124516893 Baycare Clinic, LLP Dentist 636 N 12th Ave, Sturgeon Bay, WI 54235-1249 2018-04-27
1477065787 Central Wisconsin Oral and Facial Surgery, LLC Dentist 438 Edison St, Antigo, WI 54409-1845 2017-10-26
1063869485 Tyler Kalmuck Dentist 3637 Wilgus Ave, Sheboygan, WI 53081-3050 2016-05-16
1952717753 Judson Charles Smith Dentist 2323 N Mayfair Rd Ste 102, Milwaukee, WI 53226 2014-07-01
1073930459 Paul Pamula Dentist 1925 S Green Bay Rd, Mount Pleasant, WI 53406-4654 2014-03-24
1326473927 Lake Geneva Dental Care, LLC Dentist 1454 E Huebbe Pkwy, Beloit, WI 53511-1714 2013-09-13
1093154601 Matthew D Reiland Dentist 2921 Landmark Pl Ste 100, Madison, WI 53713-4248 2013-06-17
1922364363 Ell Louis Lee Dentist 2361 Lost Dauphin Rd, De Pere, WI 54115-9165 2012-04-10
1003100470 Eddie Kiyoshi Brotkowski Dentist 464 S Hickory St Ste A, Fond Du Lac, WI 54935-5531 2011-06-02
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Competitor

Search similar providers

City WINNEBAGO
Zip Code 54985

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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