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Individual

DANIEL PETER MCCOOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APNP, RN, PMHNP-BC

Contact information

Practice address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4500
(262) 646-4411
Mailing address
2448 S 102ND ST STE 200, WEST ALLIS, WI 53227-2141
(414) 327-3000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
291968
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13636-33
WI

Other

Enumeration date
08/29/2022
Last updated
11/10/2023
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