Individual
ORSON DANIEL BANGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6611
(608) 756-6236
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6611
(608) 756-6236
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
61194-21
WI
208M00000X
Hospitalist Physician
Primary
61194-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123545537
BCBSWI
WI
05
—
123545537
—
WI
01
—
BANGEORS
MERCYCARE INSURANCE
WI
Enumeration date
04/13/2010
Last updated
01/12/2015
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