DAVID RESEN PATHOLOGY SERVICES S C NPI 1619205390

NPI Information

  • NPI: 1619205390
  • Provider Name: DAVID RESEN PATHOLOGY SERVICES S C
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Organization
  • Address: 8619 EDGEWATER RDG
    OMRO, WI
    ZIP 54963
  • Phone: (920) 376-1255

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NPI Details

DAVID RESEN PATHOLOGY SERVICES S C is an anatomic pathology and clinical pathology pathology in Omro, WI. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. DAVID RESEN PATHOLOGY SERVICES S C NPI is 1619205390. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8619 EDGEWATER RDG
OMRO, WI
ZIP 54963-760
Phone: (920) 376-1255

The provider's authorized official is Maribeth Resen .
The authorized official title is Vice President and has the following contact phone number (920) 376-1255.

The enumeration date for this NPI number is 11/18/2009 and was last updated on 10/28/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology32951WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
133321900MEDICAIDWISCONSIN
2F38733MEDICARE UPIN
3000026051MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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