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Daniel Charles Sidesky
Psychiatric/Mental Health Nurse Practitioner in Oconomowoc, Wisconsin
NPI 1881373611

Daniel Charles Sidesky is a Psychiatric/Mental Health Nurse Practitioner based in Milwaukee, WI and is specialized in Psychiatric/Mental Health. Daniel Charles Sidesky practices in Oconomowoc, WI. The NPI Number for Daniel Charles Sidesky is 1881373611 and holds a License No. 2023100362 (Wisconsin).

The current practice location address for Daniel Charles Sidesky is 1205 Corporate Center Dr, Oconomowoc, WI and can be reached out via phone at 262-303-2131.

Location: 1205 Corporate Center Dr, Oconomowoc, WI, 53222-3426
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881373611
Provider Name
Daniel Charles Sidesky
Credential
Provider Entity Type
Individual
Gender
Male
Address
1205 Corporate Center Dr, Oconomowoc, WI, 53222-3426
Phone Number
262-303-2131
Fax Number
Provider Enumeration Date
07/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1205 Corporate Center Dr
City
Oconomowoc
State
Wisconsin
Zip
53066-4898
Phone Number
262-303-2131
Fax Number
person
Provider Business Mailing Address Details
Address
1205 Corporate Center Dr
City
Oconomowoc
State
Wisconsin
Zip
53066-4898
Phone Number
262-303-2131
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
2023100362 (Wisconsin)
Definition
Definition to come...
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