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Contact Information

DANIEL NELSON
12800 N LAKE SHORE DR
MEQUON, WI53097-2418
 Phone: 262-243-2129
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for DANIEL NELSON · (Male)

NPI # 1083302087
Status Active
Credentials
Entity Individual
Enumeration date 04/27/2023
Last updated 05/26/2026 - About 2 weeks ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 1024526
  • WI License # 3221-39
  • WI License # 70120592
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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