Individual
DR. DANIEL REED WACHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-2114
(847) 570-1223
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-2114
(847) 570-1223
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-129937
IL
207P00000X
Emergency Medicine Physician
4301083581
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301083581
MI
Other
Enumeration date
03/27/2007
Last updated
09/08/2016
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