Daniel Tellijohn, CP
Daniel Tellijohn, CP is an Undefined Non-Physician Type (Specify) in Wausau, Wisconsin. Qualified in 2004, 22 years ago. Licensed in Wisconsin.
- Years since qualifying
- 22
- Licensed in
- WI
- In the registry since
- 2025
Practice location Address checks out
1700 Stewart Ave Ste 300Wausau, WI 54401-5345
Phone: (715) 679-3776
Fax: (715) 841-0087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetist (primary) | Taxonomy 224P00000X · Licence CP003277 (WI) |
|---|
Record details
| NPI number | 1407716533 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CP |
| Sole proprietor | No |
| NPI enumerated | November 12, 2025 |
| Last updated in NPPES | November 12, 2025 |
| Certification date | November 12, 2025 |
| Mailing address | 1700 Stewart Ave Ste 300, Wausau, WI 54401-5345 |
Medicare enrollment
| Medicare specialty | UNDEFINED NON-PHYSICIAN TYPE (SPECIFY) |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Wausau
-
Jace Briggs, CPO
1815 Stewart Ave, Wausau, WI 54401-5373 · (715) 849-8703
-
Jacob Lacey, CPO
1815 Stewart Ave, Wausau, WI 54401-5373 · (715) 849-8703