Individual
DR. BYRON D. DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
Mailing address
2578 WILLOW RD N, FARGO, ND 58102-2161
(701) 237-5525
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
3768
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12375
—
ND
05
—
2064787
—
MN
Enumeration date
11/20/2006
Last updated
07/09/2007
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