Individual
MR. DANIEL WESEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW, ARNP
Contact information
Practice address
4455 E 56TH ST, DAVENPORT, IA 52807-2995
(563) 355-2577
(563) 355-4015
Mailing address
4455 E 56TH ST, DAVENPORT, IA 52807-2995
(563) 355-2577
(563) 355-4015
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
06158
IA
1041C0700X
Clinical Social Worker
149009939
IL
163WP0808X
Psychiatric/Mental Health Registered Nurse
115152
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G115152
IA
Other
Enumeration date
08/26/2005
Last updated
04/21/2021
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