Individual
PATRICK THOMAS DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1620 MEHTA LN, FORT ATKINSON, WI 53538-9178
(920) 563-5544
(920) 563-8884
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
66639
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100063336
—
WI
Enumeration date
03/30/2015
Last updated
07/28/2023
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