DR. Thaddeus Daniel

NPI #1366576399 in Shawano, Wisconsin

Provider Information

NPI Number
1366576399
Entity Type
Individual
Name
DR. Thaddeus Daniel
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Enumeration Date
Mar 14, 2007
Last Updated
Mar 19, 2025

Practice Location

Address
1244 E GREEN BAY ST
Address 2
OPTICAL DEPT
ZIP Code
54166-2208
Phone
(715) 526-2376

Specialties & Taxonomy Codes

Specialty
Optometrist

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