Search › Wisconsin › 111N00000X
Daniel Wautlet
NPI 1245257146 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1071 Cormier Rd
Green Bay, WI 54304 - Phone
- (920) 499-0123
- Fax
- (920) 499-5919
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-09-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin