Individual
LAURA E DAUENHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1020 N 12TH ST, MILWAUKEE, WI 53233
(414) 773-4312
(414) 219-5422
Mailing address
1020 N 12TH ST, MILWAUKEE, WI 53233-1308
(414) 773-4312
(414) 219-5422
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
56293
WI
390200000X
Student in an Organized Health Care Education/Training Program
0116017605
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100018323
—
WI
Enumeration date
05/14/2007
Last updated
12/01/2021
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