Individual
MR. DANIEL MARK GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS CCCSLP
Contact information
Practice address
1701 SHARP RD, LAKEVIEW SPECIALTY HOSPITAL, WATERFORD, WI 53185
(262) 534-7297
Mailing address
316 N MILWAUKEE ST, SUITE 208, MILWAUKEE, WI 53202-5803
(888) 389-9030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
464154
WI
Other
Enumeration date
11/23/2007
Last updated
11/23/2007
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