Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Willmar Davison Patino Cadavid, MD

Individual provider Dermatopathology (Pathology) Physician · NPI 1457554917

Willmar Davison Patino Cadavid, MD is a Dermatology in Manitowoc, Wisconsin. Qualified in 2000, 26 years ago. Practices with Forefront Dermatology SC, a 645-clinician group and accepts Medicare assignment. Licensed in Florida and Wisconsin.

Years since qualifying
26
Licensed in
FL, WI
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

801 York St
Manitowoc, WI 54220-4630
Phone: (920) 683-5278
Fax: (920) 686-9674
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 74186-20 (WI)
Dermatopathology (Pathology) Physician Taxonomy 207ZD0900X · Licence 74186-20 (WI)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence ME108419 (FL)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 74186-20 (WI)

Record details

NPI number1457554917
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2007
Last updated in NPPESMarch 8, 2023
Certification dateMarch 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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