Individual
MR. DANIEL PAUL CROCETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-1531
(608) 263-2136
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4325
WI
363AS0400X
Surgical Physician Assistant
4325
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1151133
NCCPA
—
Enumeration date
03/22/2018
Last updated
02/21/2022
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