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Individual

DR. DANIEL J MIOTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1216 N 13TH ST., MILWAUKEE, WI 53205
(414) 345-3240
(414) 345-3248
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22467
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30028600
WI
Enumeration date
08/23/2006
Last updated
03/07/2023
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