Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | 34545 | WI |
Y | 207RX0202X | Medical Oncology | 34545 | WI |
NPI | 1063473411 |
---|---|
Provider Name | Daniel L Mulkerin |
First Address | Madison, WI 53711-5958 |
Second Address | Madison, WI 53711-5958 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2006 |
Last Update Date | 28/09/2021 |