# DANIEL A TRAUTMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1912985680
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 30615 | IA | Yes |
| 208000000X | Pediatrics Physician | 30615 | IA | — |

## Other

- **Enumeration date:** 01/04/2006
- **Last updated:** 05/16/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0125591 | — | IA |
| 01 | — | 110114212 | RR MEDICARE | IA |
| 05 | — | 1125591 | — | IA |
| 05 | — | 1912985680 | — | IA |
