Healthcare Provider Details

I. General information

NPI: 1265407662
Provider Name (Legal Business Name): WARREN F ABELL JR. DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2006
Last Update Date: 10/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 65TH AVENUE
OSCEOLA WI
54020-3024
US

IV. Provider business mailing address

PO BOX 218 2600 65TH AVENUE
OSCEOLA WI
54020-3024
US

V. Phone/Fax

Practice location:
  • Phone: 715-294-2111
  • Fax: 715-294-5758
Mailing address:
  • Phone: 715-294-2111
  • Fax: 715-294-2111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number32298
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number53721
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: