Individual
MR. DANIEL CHARLES OBERNEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10945 N PORT WASHINGTON RD, SUITE 208, MEQUON, WI 53092-5078
(262) 241-6777
(262) 241-6774
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5211024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100269727
—
WI
Enumeration date
09/21/2006
Last updated
03/19/2024
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