Michael James Danduran

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Practice address

W233N7689 Berrywood CT
Sussex, WI 53089-1551

Phone

(414) 429-9758

NPI assigned

Jul 2, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656720000000",
    "number": "1295468759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W233N7689 BERRYWOOD CT",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530891551",
            "telephone_number": "414-429-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W233N7689 BERRYWOOD CT",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530891551",
            "telephone_number": "414-429-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANDURAN",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-02",
        "last_updated": "2022-07-02",
        "certification_date": "2022-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "michael.danduran@marquette.edu",
            "affiliation": "N",
            "endpointDescription": "Secured password protected, 2-factor ID",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "W233N7689 Berrywood Ct",
            "city": "Sussex",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530891551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Exercise Physiologist in Sussex, WI
• Providers in Sussex, WI by specialty
• Clinical Exercise Physiologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.