Individual
DANIEL FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
675 W WASHINGTON AVE, MADISON, WI 53703-2637
(608) 257-9700
Mailing address
7545 TREE LN, 206G, MADISON, WI 53717-2076
(715) 370-2229
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
10987-146
WI
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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