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Individual

DANIEL L REILLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-1000
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-1000

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36799
WI
2084P0800X
Psychiatry Physician
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1004959
PHYSICIANS PLUS
01
11060
DEAN HEALTH PLAN
01
30066900
HIRSP
05
30066900
WI
01
39080850934
UNITY
01
90002361
WEA INS
01
L55671
MEDICARE
Enumeration date
11/20/2006
Last updated
07/08/2007
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