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Individual

DR. DANIEL A ALLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
818 FOREST LN, WATERFORD, WI 53185
(262) 514-3700
(262) 514-3867
Mailing address
818 FOREST LN, WATERFORD, WI 53185-4585
(262) 514-3700
(262) 514-3867

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55585-20
WI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1518109735
BCBSWI
WI
05
1518109735
WI
01
ALLISDAN
MERCYCARE INSURANCE
WI
Enumeration date
04/02/2009
Last updated
11/18/2021
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