Individual
DANIEL J. DEWINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
S75W17475 JANESVILLE RD, MUSKEGO, WI 53150-9378
(262) 679-1420
(262) 679-3810
Mailing address
PO BOX 547, MUSKEGO, WI 53150-0547
(262) 679-1420
(262) 679-3810
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2423-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38589900
—
WI
Enumeration date
03/17/2006
Last updated
03/07/2023
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