Individual
DANIEL BLAKE GOLDISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 STEINDLER WAY STE B, NORTH LIBERTY, IA 52317-7907
(319) 338-3606
(319) 338-0522
Mailing address
2301 STEINDLER WAY STE B, NORTH LIBERTY, IA 52317-7907
(319) 338-3606
(319) 338-0522
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD-47576
IA
208100000X
Physical Medicine & Rehabilitation Physician
ML60563960
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD-47576
IOWA BOARD OF MEDICINE
IA
Enumeration date
04/02/2015
Last updated
03/28/2025
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