Individual
DANIEL G CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
N1050 COUNTY ROAD O, MONDOVI, WI 54755-8886
(715) 875-4402
Mailing address
N1050 COUNTY ROAD O, MONDOVI, WI 54755-8886
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
27940
WI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
27940
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30763200
—
WI
Enumeration date
10/05/2006
Last updated
09/23/2010
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