Individual
DR. DANIEL R HARLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 880, MILWAUKEE, WI 53215-3678
(414) 649-3370
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
61632
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100034483
—
WI
05
—
1619234937
—
WI
01
—
K400382335
MEDICARE PTAN
WI
Enumeration date
04/12/2012
Last updated
11/06/2023
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