Individual
MR. DANIEL PANTZLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
H.I.S.
Contact information
Practice address
2733 MANITOWOC RD STE 8B, GREEN BAY, WI 54311-4901
(920) 468-7474
Mailing address
2733 MANITOWOC RD STE 8B, GREEN BAY, WI 54311-4901
(920) 468-7474
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1239-060
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42837600
—
WI
Enumeration date
07/18/2007
Last updated
07/18/2007
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