Individual
DR. DANIEL JOSEPH BURBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1020 MARITIME DR, MANITOWOC, WI 54220
(920) 769-0152
(920) 769-0153
Mailing address
1020 MARITIME DR, MANITOWOC, WI 54220
(920) 769-0152
(920) 769-0153
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1529
WI
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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