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1881373611
DANIEL CHARLES SIDESKY
OCONOMOWOC, WI
NPI
1881373611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WI 2023100362)
Enumeration Date
2023-07-18
Last Update Date
2023-07-18
Business Address
DANIEL CHARLES SIDESKY
1205 CORPORATE CENTER DR
OCONOMOWOC, WI 53066-4898
Phone number: 262-303-2131
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Mailing Address
DANIEL CHARLES SIDESKY
9943 W ARGONNE DR
MILWAUKEE, WI 53222-3426
Phone number: 414-899-2799
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