Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301104025 | MI |
N | 2080P0203X | Pediatric Critical Care Doctor | 0101250097 | VA |
Y | 2080P0203X | Pediatric Critical Care Doctor | 4301104025 | MI |
NPI | 1194903054 |
---|---|
Provider Name | Dr. Rodney C Daniels |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-4259 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2008 |
Last Update Date | 11/09/2013 |