Individual
MARY MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
7327
OH
207N00000X
Dermatology Physician
Primary
81655-20
WI
Other
Enumeration date
02/16/2015
Last updated
08/08/2023
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