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General NPI Number Information
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NPI Number | 1760206643
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Entity Type | Organization
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Legal Business Name | DANIEL J WILHELM MD PLLC
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Dates
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Enumeration Date | 11/08/2024
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 1024 SUPERIOR ST
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City | PORT HURON
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State | MI
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Zip | 48060-3748
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Country | US
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Telephone | 810-966-0099
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Fax | 810-696-7339
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Provider Business Mailing Address
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Address Line | 1024 SUPERIOR ST
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City | PORT HURON
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State | MI
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Zip | 48060-3748
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Country | US
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Telephone | 810-966-0099
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Fax | 810-696-7339
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Authorized Official
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Title or Position | MD
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Name | DANIEL WILHELM
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Credential | MD
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Telephone | 810-966-0099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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