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Individual
DANIEL E HOUGLUM
Active
Individual
DANIEL E HOUGLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070011555
IL
225100000X
Physical Therapist
10070024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40394300
—
WI
01
—
859400057
MEDICARE
WI
01
—
IL6237013
MEDICARE
IL
01
—
IL6238013
MEDICARE
IL
01
—
IL6697006
MEDICARE
IL
Enumeration date
05/05/2006
Last updated
12/05/2015
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