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Last Update: Saturday, April 20, 2024 4:03 AM CDT
Next Update: Saturday, April 20, 2024 12:00 PM CDT
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|
ICENOGLE, DANIEL LEE |
| Practice Address: |
UNITEDHEALTHONE
2020 INNOVATION COURT
DE PERE WI 54115
Address last updated on 6/20/2023 |
| Phone #: |
(920) 661-5394 |
| Fax #: |
(608) 629-5202 |
| County: |
NOT OKLAHOMA |
| License: |
25562 |
| Dated: |
8/8/2007 |
| Expires: |
8/1/2024 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Loyola Univ Of Chicago Stritch Sch Of Med, Maywood Il 60153 |
| Graduated: |
6 /
1981 |
| CME Year: |
2025 |
|
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
|
| Certifications: |
AMERICAN BOARD OF FAMILY MEDICINE |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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