Individual
DANIEL B BEARDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8919
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8919
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036173669
IL
208000000X
Pediatrics Physician
Primary
67536-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750794962
—
WI
Enumeration date
06/05/2014
Last updated
03/21/2025
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