DANIEL LEE ICENOGLE

VIROQUA, WI
NPI1598714016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  29039)
Enumeration Date2006-05-10
Last Update Date2013-02-18
Business Address
Dr. DANIEL LEE ICENOGLE M.D.
507 S MAIN ST
VIROQUA, WI 54665-2059
Phone number: 608-637-4260
Mailing Address
Dr. DANIEL LEE ICENOGLE M.D.
S7563 RILEY RD
READSTOWN, WI 54652-8030
Phone number: 608-637-4260
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