Individual
ANTHONY LEVELL DAILEY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1444 E WASHINGTON AVE, MADISON, WI 53703-3009
(608) 294-0220
Mailing address
917 CLARMAR DR, SUN PRAIRIE, WI 53590-3013
(608) 294-0220
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D400-0128-5370-06
WI
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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