Individual
DANIELLE K BRANDL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TATTOOIST
Contact information
Practice address
222 STATE HIGHWAY 50, DELAVAN, WI 53115-3053
(608) 931-1673
Mailing address
253 MEADOW LN, DARIEN, WI 53114-1446
(608) 931-1673
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
4351
WI
Other
Enumeration date
12/30/2021
Last updated
01/28/2022
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