Individual
DR. DANIEL L SEVERANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 496-4700
Mailing address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5101017818
MI
207XX0801X
Orthopaedic Trauma Physician
Primary
62141-021
WI
Other
Enumeration date
07/03/2008
Last updated
08/27/2014
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