Daniel James Destiche, MD - Milwaukee, WI

Daniel James Destiche, MD

Diagnostic Radiology Physician in Milwaukee, Wisconsin

NPI 1700381316

Daniel James Destiche is a Diagnostic Radiology Physician based in Milwaukee, WI and is specialized in Diagnostic Radiology. Daniel James Destiche practices in Milwaukee, WI and has the professional credentials of MD. The NPI Number for Daniel James Destiche is 1700381316 and holds a License No. 83307-20 (Wisconsin).

The current practice location address for Daniel James Destiche is 9200 W Wisconsin Ave, Milwaukee, WI and can be reached out via phone at 414-805-2060 and via fax at 414-259-9290.

Location: 9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522

NPI Number

1700381316

Provider Name

Daniel James Destiche

Credential

Provider Entity Type

Individual

Gender

Male

Address

9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522

Phone Number

414-805-2060

Fax Number

414-259-9290

Provider Enumeration Date

03/26/2018

Last Update Date

08/17/2024

Identifier	Type	State	Issuer
100275692	05	WI

Address

9200 W Wisconsin Ave

City

Milwaukee

State

Wisconsin

Zip

53226-3522

Phone Number

414-805-2060

Fax Number

414-259-9290

Address

9200 W Wisconsin Ave

City

Milwaukee

State

Wisconsin

Zip

53226-3522

Phone Number

414-805-2060

Fax Number

414-259-9290

Type

Allopathic & Osteopathic Physicians

Classification

Radiology

Speciality

Neuroradiology

Taxonomy

2085N0700X

License No.

036.164915 (Illinois)

Definition

A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

Type

Allopathic & Osteopathic Physicians

Classification

Radiology

Speciality

Diagnostic Radiology

Taxonomy

2085R0202X

License No.

83307-20 (Wisconsin)

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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