Drzewiecki, Daniel Michael
Drzewiecki, Daniel Michael is an individual health care provider with primary practice located at 2424 S 90Th St , West Allis WI 53227-2455. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Drzewiecki, Daniel Michael can be contacted via phone (414) 328-8750.Contact Information
Primary practice address
2424 S 90Th St
West Allis WI 53227-2455
Phone: (414) 328-8750
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5552-023 | Wisconsin |
Profile Details
| NPI number | 1639796790 |
|---|---|
| LBN Legal business name | Drzewiecki, Daniel Michael |
| Credentials | MS, MPH, PA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2020 |
| Last updated | Dec 1st, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639796790 | NPPES |
| Wisconsin | MEDICAID | 100181219 |
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