DANIEL JAMES RUSSELL

BURLINGTON, WI
NPI1639933484
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WI  13237-33)
Enumeration Date2024-02-12
Last Update Date2024-02-12
Business Address
DANIEL JAMES RUSSELL NP
677 E STATE ST
BURLINGTON, WI 53105-1639
Phone number: 262-763-9531
Mailing Address
DANIEL JAMES RUSSELL NP
8610 45TH AVE
KENOSHA, WI 53142-2435
Phone number: 262-939-4744
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