Individual
DANIEL CABOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3500 TOWER AVE, SUPERIOR, WI 54880
(715) 395-5454
Mailing address
3500 TOWER AVE, SUPERIOR, WI 54880
(715) 395-5454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47396
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490066900
—
MN
Enumeration date
02/17/2006
Last updated
08/27/2008
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