Individual
THANE DANIEL FELDEISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-8100
Mailing address
5828 TANGLEWOOD DR, ANN ARBOR, MI 48105-9549
(734) 330-5238
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
81356
WI
Other
Enumeration date
04/09/2021
Last updated
03/06/2023
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