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Thaddeus Daniel
NPI 1366576399 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1244 E Green Bay St
Optical Dept
Shawano, WI 54166 - Phone
- (715) 526-2376
- Fax
- (715) 526-9651
- Organisation at this address
- Wal-Mart Stores East Lp
Wal-Mart Stores East, LpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- CO, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-19
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