MEDICARE: DAVID E RESEN 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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	32951	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255334330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID E RESEN MD

Provider Business Mailing Address
First Line	:	PO BOX 43
Second Line	:
City	:	GREEN LAKE
State	:	WI
Zip	:	54941-0043
Country	:	US
Telephone Number	:	920-376-1255
Fax Number	:

Provider Business Practice Location Address
First Line	:	8619 EDGEWATER RDG
Second Line	:
City	:	OMRO
State	:	WI
Zip	:	54963-9760
Country	:	US
Telephone Number	:	920-376-1256
Fax Number	:

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	12/11/2014

Similar Medicare Providers

1619205390 — DAVID RESEN PATHOLOGY SERVICES S C
Practice Location Address:

8619 EDGEWATER RDG
OMRO, WI
54963-9760

Practice Phone: 920-376-1255
Practice Fax:

1285632901 — DR. MICHAEL LAWRENCE BOSQUEZ D.C., CCEP
Practice Location Address:

836 WILLOW ST
OMRO, WI
54963-9373

Practice Phone: 920-685-3015
Practice Fax: 920-685-3017

1275521528 — DENNIS L. HUNT PHARMACY INC
Practice Location Address:

328 E MAIN ST
OMRO, WI
54963-1420

Practice Phone: 920-685-5041
Practice Fax: 920-685-0313

1275519134 — MS. SUSAN M HURLBUT NP
Practice Location Address:

1805 HUCKLEBERRY AVE
OMRO, WI
54963-1851

Practice Phone: 920-685-7280
Practice Fax: 920-303-5630

1790752020 — DR. THOMAS ROBERT MACHAK D.D.S.
Practice Location Address:

123 W MAIN ST
OMRO, WI
54963-1333

Practice Phone: 920-685-5893
Practice Fax: 920-685-7375

1548229156 — SARAH LYNN O'CONNELL R.N.
Practice Location Address:

5510 REIGHMOOR RD
OMRO, WI
54963-9439

Practice Phone: 920-685-0178
Practice Fax:

Directions to “ DAVID E RESEN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.