Provider Demographics
NPI:1497861983
Name:DANBY, DAVID M (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:DANBY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 365
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:WI
Mailing Address - Zip Code:54155-0365
Mailing Address - Country:US
Mailing Address - Phone:920-869-4861
Mailing Address - Fax:920-869-4979
Practice Address - Street 1:525 AIRPORT DR
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:WI
Practice Address - Zip Code:54155-9035
Practice Address - Country:US
Practice Address - Phone:920-869-2711
Practice Address - Fax:920-869-4979
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI29247207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI110004056OtherWEA
WI390806395OtherWPS
WI390806395003OtherCHAMPUS
WIB52297OtherCIGNA
WI31419800Medicaid
WIX7039320002OtherMANAGED HEALTH SERVICES
WI11755OtherNETWORK HEALTH
WI00001267253 01OtherUNITED HEALTH
WI080029383OtherMEDICARE RAILROAD
WIX7039320002OtherMANAGED HEALTH SERVICES
WI31419800Medicaid
WI110004056OtherWEA