Individual
MICHAEL J DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1208 N LINCOLN ST, KNOXVILLE, IA 50138-3421
(641) 828-3832
(641) 828-3820
Mailing address
1208 N LINCOLN ST, KNOXVILLE, IA 50138-3421
(641) 828-3832
(641) 828-3820
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02269
IA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
02269
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0421982
—
IA
01
—
080138392
RR MEDICARE
IA
01
—
080157711
RR MEDICARE
IA
05
—
1048942
—
IA
05
—
1154308278
—
IA
05
—
5048942
—
IA
05
—
6048942
—
IA
05
—
9048942
—
IA
Enumeration date
12/29/2005
Last updated
03/31/2017
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