Individual
DANIEL J. JANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1767 PARK AVE, PLOVER, WI 54467-4301
(715) 393-0479
Mailing address
225000 HUMMINGBIRD RD, WAUSAU, WI 54401-2948
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3347
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40115300
—
WI
Enumeration date
08/26/2005
Last updated
11/04/2020
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