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Individual

ALAN DANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1443 E GOODRICH LN, MILWAUKEE, WI 53217-2950
(414) 351-5176
Mailing address
4555 W SCHROEDER DR, #170, MILWAUKEE, WI 53223-1475
(414) 365-3210

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20980
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30115600
WI
Enumeration date
11/22/2006
Last updated
04/14/2008
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