Individual
DANA M GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1151 WARWICK WAY, RACINE, WI 53406-5661
(262) 321-6300
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
125.061562
IL
207N00000X
Dermatology Physician
Primary
67748
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100072198
—
WI
Enumeration date
04/05/2012
Last updated
10/18/2023
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