Individual
DANIEL C MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
SURGICAL ASSOCIATES, SC, 2400 PINE RIDGE BLVD, WAUSAU, WI 54401
(715) 847-2022
(715) 843-1220
Mailing address
2400 PINE RIDGE BLVD, WAUSAU, WI 54401
(715) 847-2022
(715) 843-1220
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1924-320
WI
208600000X
Surgery Physician
M-1942
GU
208600000X
Surgery Physician
MD456117
PA
Other
Enumeration date
04/02/2010
Last updated
09/23/2022
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