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Individual

DR. DANIEL W HAMPTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
601 S CENTER AVE, MERRILL, WI 54452-3404
(715) 536-5511
Mailing address
5640 NUTONE ST, FITCHBURG, WI 53711-1678
(630) 567-3379
(608) 467-7769

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036118969
IL
207P00000X
Emergency Medicine Physician
Primary
51777-21
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036118969
STATE LICENSE NUMBER
IL
05
1225226863
WI
01
4673170001
DMERC
IL
05
504945390 1
IL
01
HANPTDAN
MERCYCARE INSURANCE
WI
01
P00444352/CK6882
RAILROAD MEDICARE
IL
01
P00978294DB7792
RR MEDICARE
WI
Enumeration date
10/09/2007
Last updated
12/29/2020
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