Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 11013463A | IN |
Y | 207VE0102X | Reproductive Endocrinologist | 01067343A | IN |
NPI | 1043481468 |
---|---|
Provider Name | Dr. Daniel W. Griffin |
First Address | Newburgh, IN 47630-8940 |
Second Address | Newburgh, IN 47630-8940 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2008 |
Last Update Date | 19/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01067343A | IN STATE LICENSE (01) | IN |