Individual
GREGORY MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 5TH ST NE, BARBERTON, OH 44203-3332
(330) 615-3249
(330) 615-3250
Mailing address
155 5TH ST NE, BARBERTON, OH 44203-3332
(330) 615-3249
(330) 615-3250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35071210
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000359376
BC/BS OF OHIO
OH
05
—
2132641
—
OH
01
—
P00285675
RR MEDICARE
OH
Enumeration date
03/28/2006
Last updated
01/26/2009
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