Individual
DANIEL J HEYRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
N 84 W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 53051
(262) 251-7500
(262) 251-7128
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29801
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31554800
—
WI
01
—
P00612585
RR MEDICARE
WI
Enumeration date
07/07/2006
Last updated
12/23/2010
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