Individual
DANIEL GERARD CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
5605 WASHINGTON AVE STE 9, MT PLEASANT, WI 53406-4056
(262) 554-4522
Mailing address
1328 95TH AVE, KENOSHA, WI 53144-7718
(262) 859-2052
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
55-377
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55-377
WISCONSIN LICENSE NUMBER
WI
Enumeration date
03/01/2019
Last updated
03/01/2019
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