Individual
MARY MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 SCHEURING RD, DE PERE, WI 54115-1067
(920) 964-0229
(920) 964-0248
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
7327
OH
207N00000X
Dermatology Physician
Primary
81655-20
WI
Other
Enumeration date
02/16/2015
Last updated
08/08/2023
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