Individual
JOHN E DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 N MAYFAIR ROAD, WAUWATOSA, WI 53226-4216
(414) 771-8228
(414) 256-1902
Mailing address
201 N MAYFAIR ROAD, WAUWATOSA, WI 53226-4216
(414) 771-8228
(414) 256-1902
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
42130
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34179000
—
WI
01
—
P00059946
RR MEDICARE
—
Enumeration date
04/17/2006
Last updated
12/02/2010
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