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NPI Code Detail

MEDICARE: DR. DANIEL L. ONGNA M.D.

MEDICARE:  DR. DANIEL L. ONGNA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician33541WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013952779
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL L. ONGNA M.D.
Provider Business Mailing Address
First Line : 3410 STANLEY ST
Second Line : P.O. BOX 108
City : STEVENS POINT
State : WI
Zip : 54481-1325
Country : US
Telephone Number : 715-344-1234
Fax Number :
Provider Business Practice Location Address
First Line : 900 ILLINOIS AVE
Second Line :
City : STEVENS POINT
State : WI
Zip : 54481-3114
Country : US
Telephone Number : 715-346-5140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2006
Last Update Date : 02/07/2008

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