Individual
DR. DANIEL GEORGE RADOSEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E UNIVERSITY AVE, DEPARTMENT 3068, LARAMIE, WY 82071
(307) 766-2130
(307) 766-2711
Mailing address
1000 E UNIVERSITY AVE, DEPARTMENT 3068, LARAMIE, WY 82071
(307) 766-2130
(307) 766-2711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5240A
WY
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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