IndividualActive
Edgar Betancourt, M.D.
NPI 1174593875 · Anatomic Pathology & Clinical Pathology Physician · Wausau, WI
Provider details
- NPI number
- 1174593875
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 43096 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
333 Pine Ridge Blvd
Wausau, WI 54401-4120
Phone: (715) 847-2130
Approximate (ZIP-level) locationGet directions
Mailing address
2800 Westhill Dr
Wausau, WI 54401-3771
Registry dates
- Enumerated
- 2006-01-25
- Last updated
- 2023-10-18
- Certified
- 2023-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.