Individual
JONATHAN RICHARD DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3801 SPRING ST, MOUNT PLEASANT, WI 53405-1667
(262) 687-4011
Mailing address
2650 RIDGE AVE., IM HOSPITALISTS STE 4210, EVANSTON, IL 60201
(847) 570-1010
(847) 733-5108
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036134976
IL
207R00000X
Internal Medicine Physician
125059130
IL
208M00000X
Hospitalist Physician
Primary
036134976
IL
208M00000X
Hospitalist Physician
64884
WI
Other
Enumeration date
08/04/2011
Last updated
03/23/2021
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