Abbott, Daniel Wesley

Abbott, Daniel Wesley is an individual health care provider with primary practice located at 2300 Western Ave , Manitowoc WI 54220-3712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Abbott, Daniel Wesley can be contacted via phone (920) 320-2011.

Contact Information

Primary practice address
2300 Western Ave Manitowoc WI 54220-3712
Phone: (920) 320-2011
Fax: (920) 320-5129
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 64011 Wisconsin

Profile Details

NPI number 1467894873
LBN Legal business name Abbott, Daniel Wesley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2013
Last updated Sep 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467894873 NPPES
Wisconsin MEDICAID 1467894873

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