Individual
MR. DANIEL NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADCIII
Contact information
Practice address
820 N PLANKINTON AVE, MILWAUKEE, WI 53203-1802
(414) 225-1542
(414) 225-1575
Mailing address
820 N PLANKINTON AVE, MILWAUKEE, WI 53203-1802
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39377800
—
WI
Enumeration date
08/01/2006
Last updated
07/08/2007
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