Provider Demographics
NPI:1962446351
Name:DUNN, JAMES EVERETT (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:EVERETT
Last Name:DUNN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 E WALL ST
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:WI
Mailing Address - Zip Code:54521-9368
Mailing Address - Country:US
Mailing Address - Phone:715-477-3000
Mailing Address - Fax:715-477-3100
Practice Address - Street 1:930 E WALL ST
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:WI
Practice Address - Zip Code:54521-9368
Practice Address - Country:US
Practice Address - Phone:715-477-3000
Practice Address - Fax:715-477-3121
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI41819207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine