Doctor profile · Federal record
Dr. Mary Donovan, M.D.
Pediatrics Physician · Waukesha, WI
- NPI 1083685499
- 20 yrs on file
- Female
- No sanctions
Practice & contact
- Primary practice
-
20611 Watertown RD, Suite C
Waukesha, WI 531861871
(262) 798-1810
fax (262) 798-2614
Credentials & registration
- NPI registered
- February 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- Wisconsin #27603
- Medicaid
- WI #31393600
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1083685499. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$27
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Sumitomo Pharma America, Inc. | 1 | $26.54 |
By nature of payment
Frequently asked questions
What is Dr. Mary Donovan's medical specialty?
Dr. Mary Donovan practices Pediatrics Physician in Waukesha, WI.
Where does Dr. Mary Donovan practice?
Dr. Mary Donovan practices at 20611 Watertown RD, Waukesha, WI 531861871. Office phone: 2627981810.
What is Dr. Mary Donovan's NPI?
Dr. Mary Donovan's National Provider Identifier (NPI) is 1083685499, issued by NPPES.