Individual
DANIEL PERRAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 W VILLARD AVE, MILWAUKEE, WI 53209-4901
(414) 527-8181
Mailing address
2400 W VILLARD AVE, MILWAUKEE, WI 53209-4901
(414) 527-8181
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
39131-020
WI
207Q00000X
Family Medicine Physician
Primary
39131
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32608800
—
WI
Enumeration date
08/18/2005
Last updated
09/03/2024
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