Individual
DR. DANIEL EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-2818
(559) 250-5693
Mailing address
600 HIGHLAND AVE, MADISON, WI 53792-2818
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
81189
WI
Other
Enumeration date
04/12/2020
Last updated
07/10/2023
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