Individual
DR. DANIEL P. WEYRAUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3957 N MULFORD RD, ROCKFORD, IL 61114-8004
(815) 282-8590
Mailing address
3957 N MULFORD RD, ROCKFORD, IL 61114-8004
(815) 282-8590
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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