Individual
DANIEL J BRANNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3581
(920) 430-4888
(920) 430-4889
Mailing address
714 N MICHIGAN ST, SOUTH BEND, IN 46601-1035
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
81963-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2021
Last updated
07/24/2025
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