Individual
DANIEL WILLIAM WEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7229 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1698
(317) 621-4300
(317) 621-4366
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01058969A
IN
2085R0001X
Radiation Oncology Physician
13738
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200476820
—
IN
01
—
P00136772
RR MEDICARE PIN
IN
01
—
P01211440
RR MEDICARE PTAN
IN
Enumeration date
07/22/2005
Last updated
11/27/2023
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