Individual
DANIEL M LIEUWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
217 1/2 PLEASANT PL, DE PERE, WI 54115-1944
(920) 562-6366
Mailing address
217 1/2 PLEASANT PL, DE PERE, WI 54115-1944
(920) 562-6366
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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