Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0100X | Gastroenterologist | 60307 | WI |
NPI | 1013205202 |
---|---|
Provider Name | Kimberly E Daniel |
First Address | Middleton, WI 53562-5531 |
Second Address | Madison, WI 53705-1311 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2011 |
Last Update Date | 20/01/2021 |