Individual
WILLIAM DANIELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 MOON LAKE DR, APT #11, RICE LAKE, WI 54868-2419
(320) 226-6684
Mailing address
530 MOON LAKE DR, APT #11, RICE LAKE, WI 54868-2419
(320) 226-6684
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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