Individual
DANIEL P DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
W62 N179 WASHINGTON AVE, CEDARBURG, WI 53012
(262) 375-3555
(262) 376-0275
Mailing address
4425 N PORT WASHINGTON RD, ATTN: CSMCP CLINIC CREDENTIALING, GLENDALE, WI 53212-1082
(262) 375-3555
(262) 376-0275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29425
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31548300
—
WI
Enumeration date
04/04/2006
Last updated
06/12/2012
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