DANIEL CHARLES SIDESKY

OCONOMOWOC, WI
NPI1881373611
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WI  2023100362)
Enumeration Date2023-07-18
Last Update Date2023-07-18
Business Address
DANIEL CHARLES SIDESKY
1205 CORPORATE CENTER DR
OCONOMOWOC, WI 53066-4898
Phone number: 262-303-2131
Mailing Address
DANIEL CHARLES SIDESKY
9943 W ARGONNE DR
MILWAUKEE, WI 53222-3426
Phone number: 414-899-2799