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NPI Code Detail

MEDICARE: DR. DANIEL T MURRAY D.C.

MEDICARE: DR. DANIEL T MURRAY D.C.
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
1111N00000XChiropractor2728-012WI

General Provider Information

NPI Number : 1558363010
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL T MURRAY D.C.
Provider Business Mailing Address
First Line : 1452 GENESEE ST
Second Line :
City : DELAFIELD
State : WI
Zip : 53018-1432
Country : US
Telephone Number : 262-646-5800
Fax Number : 262-646-5803
Provider Business Practice Location Address
First Line : 1452 GENESEE ST
Second Line :
City : DELAFIELD
State : WI
Zip : 53018-1432
Country : US
Telephone Number : 262-646-5800
Fax Number : 262-646-5803
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 10/29/2012

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