Healthcare Provider Details

I. General information

NPI: 1932265691
Provider Name (Legal Business Name): DANIEL C MURPHY PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 W CHAMBERS ST
MILWAUKEE WI
53210-1650
US

IV. Provider business mailing address

12485 W NORTH LN
NEW BERLIN WI
53151-9047
US

V. Phone/Fax

Practice location:
  • Phone: 414-447-2000
  • Fax:
Mailing address:
  • Phone: 262-641-0918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1920
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number1920
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: