Provider Demographics
NPI:1285031831
Name:STROMMEN, DANIEL ROBERT (RPH)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:ROBERT
Last Name:STROMMEN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3701 S 27TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53221-1304
Mailing Address - Country:US
Mailing Address - Phone:414-281-3622
Mailing Address - Fax:414-281-5529
Practice Address - Street 1:6462 S 27TH ST
Practice Address - Street 2:
Practice Address - City:OAK CREEK
Practice Address - State:WI
Practice Address - Zip Code:53154-1036
Practice Address - Country:US
Practice Address - Phone:414-761-1550
Practice Address - Fax:414-761-1682
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-25
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10216-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist