DR. JOHN R. DANIELSON M.D.
Surgery Yellow Pages
Merrillville, Indiana
Provider NPI: 1104966720
Provider Information:DR. JOHN R. DANIELSON M.D.
Practice Location:
8053 CLEVELAND PL MERRILLVILLE, IN 46410 US
Tel: 219-769-4456 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 208200000X | Physicians Plastic Surgery | IN | 01034603 |
N | 2082S0105X | Physicians Plastic Surgery | IN | 01034603A |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
ANTHEM | 000000095467 | 01 | |
100201750A | IN | 05 | |
RAILROAD MEDICARE | 240000555 | IN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin