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Individual

DR. DANIEL J BUCKLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9200 W WISCONSIN AVENUE, DEPARTMENT OF RADIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3750
(414) 259-9290
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3750
(414) 259-9290

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
66811
WI
2085R0202X
Diagnostic Radiology Physician
Primary
66811
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1417249426
WI
Enumeration date
05/09/2011
Last updated
09/15/2025
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