Individual
CHELSEA L DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215
(414) 385-2590
Mailing address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4390-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100079719
—
WI
Enumeration date
06/19/2018
Last updated
12/09/2021
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