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Individual

DANIEL RICHARD MELDRUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-8900
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
01055975A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
1146
WI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
4301102234
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200391990
IN
01
P00734144
RAILROAD MEDICARE
IN
Enumeration date
08/19/2006
Last updated
04/01/2021
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