Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 52610 | WI |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 52610 | WI |
NPI | 1285808337 |
---|---|
Provider Name | Daniel Paul Wiske |
First Address | Milwaukee, WI 53209-2042 |
Second Address | Milwaukee, WI 53215-3669 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2008 |
Last Update Date | 24/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100010508 | (05) | WI |
P00941524 | RR MEDICARE (01) | WI |