Individual
DR. JAMES DANIEL PRAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 WEST OKLAHOMA AVE, 2ND FLOOR GALLERIA, MILWAUKEE, WI 53215
(414) 649-6572
(414) 649-5815
Mailing address
2900 WEST OKLAHOMA AVE, 2ND FLOOR GALLERIA, MILWAUKEE, WI 53215
(414) 649-6572
(414) 649-5815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49725-020
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
49725-020
WI
207RP1001X
Pulmonary Disease Physician
49725-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437211539
—
WI
Enumeration date
12/14/2006
Last updated
12/01/2021
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