Individual
DR. DANIEL GRAY TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Mailing address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
75550
WI
390200000X
Student in an Organized Health Care Education/Training Program
8120-851
WI
Other
Enumeration date
06/21/2019
Last updated
06/30/2021
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