Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 15029 | CA |
NPI | 1710970546 |
---|---|
Provider Name | Daniel Schlenger |
First Address | Minden, NV 89423-9211 |
Second Address | Carson City, NV 89703-2944 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2005 |
Last Update Date | 13/12/2007 |