Individual
MICHAEL DAEHN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 WASHINGTON AVE, OSHKOSH, WI 54901-5030
(920) 236-4600
Mailing address
PO BOX 2187, OSHKOSH, WI 54903-2187
(920) 236-4600
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1388-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42139300
—
WI
Enumeration date
12/05/2006
Last updated
03/18/2008
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