Individual
MR. DANIEL R BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
440 E ALBERT ST, PORTAGE, WI 53901-1414
(608) 742-2333
Mailing address
440E ALBERT ST, PORTAGE, WI 53901-1414
(608) 742-2333
(608) 742-5663
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3336
WI
111N00000X
Chiropractor
3336-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38898800
—
WI
Enumeration date
06/15/2006
Last updated
09/20/2019
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