Organization
JOHN E. DANIELS MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E DANIELS MD (PRESIDENT)
(414) 328-8798
Entity
Organization
Contact information
Practice address
10201 W LINCOLN AVE, SUITE 100, WEST ALLIS, WI 53227-2136
(414) 328-8798
Mailing address
10201 W LINCOLN AVE, SUITE 100, WEST ALLIS, WI 53227-2136
(414) 328-8798
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
42130
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21295900
—
WI
05
—
34179000
—
WI
01
—
DD7357
RR MEDICARE
—
Enumeration date
06/22/2006
Last updated
10/23/2007
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