DR. Daniel Lee Icenogle, M.D.

NPI #1598714016 in Viroqua, Wisconsin

Provider Information

NPI Number: 1598714016
Entity Type: Individual
Name: DR. Daniel Lee Icenogle, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: May 10, 2006
Last Updated: Feb 18, 2013

Practice Location

Address: 507 S MAIN ST
City: Viroqua
State: Wisconsin
ZIP Code: 54665-2059
Phone: (608) 637-4260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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