Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 01333 | MD |
NPI | 1073615373 |
---|---|
Provider Name | Dr. Daniel Dale Michaels |
First Address | Frederick, MD 21705-0269 |
Second Address | Hagerstown, MD 21740-5852 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2006 |
Last Update Date | 09/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
403918100 | (05) | MD |
U90774 | (02) | MD |