Provider Demographics
NPI:1255722104
Name:TOMLINSON, DANIEL PATRICK (NP)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:PATRICK
Last Name:TOMLINSON
Suffix:
Gender:M
Credentials:NP
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Mailing Address - Street 1:801 YORK ST
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-4630
Mailing Address - Country:US
Mailing Address - Phone:920-663-9008
Mailing Address - Fax:920-684-1439
Practice Address - Street 1:1602 MILITARY ST
Practice Address - Street 2:
Practice Address - City:PORT HURON
Practice Address - State:MI
Practice Address - Zip Code:48060-5933
Practice Address - Country:US
Practice Address - Phone:810-982-9527
Practice Address - Fax:810-982-1663
Is Sole Proprietor?:No
Enumeration Date:2015-02-13
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN216775363LF0000X
MDAC001668363LF0000X
VA0024175325363LF0000X
MI4704320170363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily