Individual
MR. ANDRE DANIEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS, NASM-PES
Contact information
Practice address
3501 S LAKE DR, MILWAUKEE, WI 53235-0900
(414) 294-4900
Mailing address
8961 S CHICAGO RD, OAK CREEK, WI 53154-4249
(414) 559-6680
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WI
Other
Enumeration date
02/08/2006
Last updated
07/08/2007
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