Individual
DR. DANIEL THOMAS PUCHERIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A
Contact information
Practice address
3737 SOUTHERN BLVD STE 4200, KETTERING, OH 45429-0135
(937) 294-1489
(937) 294-7999
Mailing address
3737 SOUTHERN BLVD STE 4200, KETTERING, OH 45429-0135
(937) 294-1489
(937) 294-7999
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35.134964
OH
208800000X
Urology Physician
4301100400
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0359824
—
OH
Enumeration date
06/06/2012
Last updated
01/05/2021
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