Provider Demographics
NPI:1881619187
Name:DARNIEDER, MICHAEL VICTOR (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:VICTOR
Last Name:DARNIEDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8535 W CAPITOL DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53222-1826
Mailing Address - Country:US
Mailing Address - Phone:414-461-7400
Mailing Address - Fax:414-461-2818
Practice Address - Street 1:8535 W CAPITOL DR
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53222-1826
Practice Address - Country:US
Practice Address - Phone:414-461-7400
Practice Address - Fax:414-461-2818
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2012-04-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI26646207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI30653000Medicaid
WI30653000Medicaid