Healthcare Provider Details

I. General information

NPI: 1508848847
Provider Name (Legal Business Name): DAVID V MARUSKA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2005
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N WESTHAVEN DR
OSHKOSH WI
54904-6926
US

IV. Provider business mailing address

3 NEENAH CTR
NEENAH WI
54956-3070
US

V. Phone/Fax

Practice location:
  • Phone: 920-237-5000
  • Fax: 920-237-5011
Mailing address:
  • Phone: 920-830-5900
  • Fax: 920-830-5910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number28554
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: