Basic Information
Provider Information
NPI: 1285617092
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HELLMAN
FirstName: DANIEL
MiddleName: R.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 225 S EXECUTIVE DR
Address2:  
City: BROOKFIELD
State: WI
PostalCode: 530054266
CountryCode: US
TelephoneNumber: 2627874026
FaxNumber:  
Practice Location
Address1: 10401 W LINCOLN AVE
Address2:  
City: WEST ALLIS
State: WI
PostalCode: 532271255
CountryCode: US
TelephoneNumber: 4143217850
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/25/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X22391-020WIY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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