Individual
DANIEL C MACCHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
191 THEATER RD, ONALASKA, WI 54650-8679
(608) 785-0940
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41101
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32564000
—
WI
Enumeration date
05/24/2005
Last updated
10/12/2023
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