Individual
DANIEL L. GAUERKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
815 W FULTON ST STE 3, WAUPACA, WI 54981-1405
(715) 258-9122
(715) 258-3090
Mailing address
815 W FULTON ST STE 3, P.O. BOX 437, WAUPACA, WI 54981-1405
(715) 258-9122
(715) 258-3090
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1938
WI
Other
Enumeration date
09/24/2006
Last updated
07/08/2007
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