DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DANIEL LEE ICENOGLE, M.D.

Active

DR. DANIEL LEE ICENOGLE, M.D. is a Family Medicine healthcare provider located in VIROQUA, Wisconsin. NPI 1598714016 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · VIROQUA, WI

Registration Details

NPI Number
1598714016
Provider Type
Individual
Gender
Male
NPI Issued
May 10, 2006 (20.078804635904 yrs)
Last Updated
Feb 18, 2013
License
29039 (WI)

Practice Information

Address
507 S MAIN ST
VIROQUA, WI, 546652059
Browse WI providers · Browse ZIP 54665
Phone
6086374260
Fax
6086377492
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in VIROQUA, WI

Name Credential NPI
JON D RADCLIFFE DO 1619979895
BRIAN R WOODY MD 1174527832
JAMES R FELTES MD 1750386538
WILLIAM LOGAN BENDER M.D. 1922091628
RACHEL M BASSETT MD 1649247222
MICHAEL A KALINOSKY MD 1770551269
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.