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Individual

DANIEL CARL LEMKUIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-5753
(920) 430-4700
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38054
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1077244220
AMERICAN BOARD OF FAMILY MEDICINE
Enumeration date
12/06/2005
Last updated
12/29/2023
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