Individual
DR. DANIEL L WALRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 MAPLE AVE, PROHEALTH CARE MEDICAL ASSOCIATES INC., MUKWONAGO, WI 53149-8475
(262) 929-1900
(262) 363-1949
Mailing address
240 MAPLE AVE, PROHEALTH CARE MEDICAL ASSOCIATES INC., MUKWONAGO, WI 53149-8475
(262) 929-1900
(262) 363-1949
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
22567
WI
207Q00000X
Family Medicine Physician
Primary
22567
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30372200
—
WI
Enumeration date
04/06/2006
Last updated
10/26/2017
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