Individual
DANIEL R.B. FARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
512 WILCOX ST, FORT ATKINSON, WI 53538-1254
(920) 563-7366
(920) 563-9061
Mailing address
512 WILCOX ST, FORT ATKINSON, WI 53538-1254
(920) 563-7366
(920) 563-9061
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
22350-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30293500
—
WI
Enumeration date
07/26/2006
Last updated
07/08/2007
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