Provider Demographics
NPI:1417941360
Name:NEUMAN, DEBORAH M (DO)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:M
Last Name:NEUMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:ONDERSMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1900 N DEWEY AVE
Mailing Address - Street 2:
Mailing Address - City:REEDSBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53959-2214
Mailing Address - Country:US
Mailing Address - Phone:608-524-6477
Mailing Address - Fax:608-524-8305
Practice Address - Street 1:1900 N DEWEY AVE
Practice Address - Street 2:
Practice Address - City:REEDSBURG
Practice Address - State:WI
Practice Address - Zip Code:53959-2214
Practice Address - Country:US
Practice Address - Phone:608-524-6477
Practice Address - Fax:608-524-8305
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101011658207Q00000X
WI35505207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1417941360Medicaid
MI3169406Medicaid
MI3169406Medicaid
WI1417941360Medicare PIN
MI0M30920007Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
G06485Medicare UPIN