DR. Daniel George Radosevich, MD

NPI #1437261120 in Laramie, Wyoming

Provider Information

NPI Number: 1437261120
Entity Type: Individual
Name: DR. Daniel George Radosevich, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1000 E UNIVERSITY AVE
Address 2: DEPARTMENT 3068
City: Laramie
State: Wyoming
ZIP Code: 82071
Phone: (307) 766-2130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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