Individual
DAI YAMANOUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH. D.
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-3236
(608) 265-4420
(608) 265-1148
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
216-875
WI
2086S0129X
Vascular Surgery Physician
Primary
4-876
WI
Other
Enumeration date
12/11/2009
Last updated
02/02/2021
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