Individual
MATEUSZ DANIELUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 389-2377
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2377
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.151053
IL
208M00000X
Hospitalist Physician
Primary
73491
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100102381
—
WI
Enumeration date
03/24/2017
Last updated
12/01/2021
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