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Individual

DANIEL R OPEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081
(920) 457-4461
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
126.064680
IL
207N00000X
Dermatology Physician
Primary
68778-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100078446
WI
Enumeration date
05/05/2014
Last updated
07/01/2024
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