Healthcare Provider Details

I. General information

NPI: 1093264350
Provider Name (Legal Business Name): DANIEL JOHN BUEHLER LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2016
Last Update Date: 03/01/2021
Certification Date: 03/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10855 W POTTER RD STE 23
WAUWATOSA WI
53226-3439
US

IV. Provider business mailing address

10855 W POTTER RD STE 23
WAUWATOSA WI
53226-3439
US

V. Phone/Fax

Practice location:
  • Phone: 262-437-7711
  • Fax: 262-353-4486
Mailing address:
  • Phone: 262-437-7711
  • Fax: 262-353-4486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2873-226
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: