MEDICARE: DR. DAWN MARIE ELFENBEIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	59868-20	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	134902	OTHER	NC	NORTH CAROLINA MEDICAL BOARD CERTIFICATE NUMBER

General Provider Information

NPI Number	:	1548437163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAWN MARIE ELFENBEIN MD

Provider Business Mailing Address
First Line	:	1515 SPAIGHT ST
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53703-3724
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 SPAIGHT ST
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53703-3724
Country	:	US
Telephone Number	:	410-274-2658
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2008
Last Update Date	:	10/16/2025

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