Individual
LOUAY O DANIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 SHERRY AVE, PARK FALLS, WI 54552
(715) 762-7311
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48077
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34644200
—
WI
Enumeration date
09/08/2006
Last updated
07/08/2007
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