Randall J Mcdaniel (NPI# 1518063874, PAC ID# 2769497965) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1518063874 |
| PAC ID by PECOS | 2769497965 |
| Professional Enrollment ID | I20060209000094 |
| Full Name | Randall J Mcdaniel |
| Organization Legal Name | LMG, INC |
| Address |
2626 N Wauwatosa Ave Suite 105 Wauwatosa WI 53213-1137 |
| Phone Number | 4149623100 |
| Gender | M |
| Credential | DDS |
| Graduation Year | 1990 |
| Primary Specialty | ORAL SURGERY |
| Group Practice PAC ID | 6305851676 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2626 N Wauwatosa Ave, Suite 105, Wauwatosa, WI 53213-1137 | 4149623100 | LMG, INC |
| Organization Legal Name | LMG, INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda J Shear | Nurse Practitioner | Lmg, Inc | 2626 N Wauwatosa Ave, Suite 105, Wauwatosa, WI 53213-1137 |
| Daniel E Tache | Oral Surgery | Lmg, Inc | 2626 N Wauwatosa Ave, Suite 105, Wauwatosa, WI 53213-1137 |
| Tracy A Bolton | Nurse Practitioner | Lmg, Inc | 2727 N Grandview Blvd, Suite 100, Waukesha, WI 53188-6100 |
| Street Address |
2626 N WAUWATOSA AVE SUITE 105 |
| City | WAUWATOSA |
| State | WI |
| Zip | 53213-1137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda J Shear | Nurse Practitioner | Lmg, Inc | 2626 N Wauwatosa Ave, Suite 105, Wauwatosa, WI 53213-1137 |
| Daniel E Tache | Oral Surgery | Lmg, Inc | 2626 N Wauwatosa Ave, Suite 105, Wauwatosa, WI 53213-1137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaitlyn M Shaughnessy | Physical Therapy | Affiliated Health of Wisconsin Ltd | 2626 N 76th St, Suite 105, Wauwatosa, WI 53213-1137 |
| Robert W Hoffmann | Physical Therapy | Affiliated Health of Wisconsin Ltd | 2626 N 76th St, Suite 105, Wauwatosa, WI 53213-1137 |
| Matthew Perchuk | Physical Therapy | Affiliated Health of Wisconsin Ltd | 2626 N 76th St, Suite 105, Wauwatosa, WI 53213-1137 |
| Margarita Tolentino | Physical Medicine and Rehabilitation | Affiliated Health of Wisconsin Ltd | 2626 N 76th St, Suite 105, Wauwatosa, WI 53213-1137 |
| Jacob A Raml | Physical Therapy | Affiliated Health of Wisconsin Ltd | 2626 N 76th St, Suite 105, Wauwatosa, WI 53213-1137 |
| Nicholas A Olson-studler | Physical Therapy | Affiliated Health of Wisconsin Ltd | 2626 N 76th St, Suite 105, Wauwatosa, WI 53213-1137 |
| Jack A Michael | Physical Therapy | Affiliated Health of Wisconsin Ltd | 2626 N 76th St, Suite 105, Wauwatosa, WI 53213-1137 |
| Jennifer M Budzien | Physical Therapy | Affiliated Health of Wisconsin Ltd | 2626 N 76th St, Suite 105, Wauwatosa, WI 53213-1137 |
| Gena M Scales | Physical Therapy | Affiliated Health of Wisconsin Ltd | 2626 N 76th St, Suite 105, Wauwatosa, WI 53213-1137 |
| Michael Matysik | Physical Therapy | Affiliated Health of Wisconsin Ltd | 2626 N 76th St, Wauwatosa, WI 53213-1137 |
| Find all physicians in zip 53213 | |||
| City | WAUWATOSA |
| Zip Code | 53213 |
| Specialty | ORAL SURGERY |
| City + Specialty | WAUWATOSA + ORAL SURGERY |
Please comment or provide details below to improve the information on Randall J Mcdaniel.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.