Individual
DR. JAMESON DANIEL WAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2315 E 3RD ST, BLOOMINGTON, IN 47401-5320
(812) 332-7246
(812) 332-2728
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01052216A
IN
2084N0400X
Neurology Physician
IN01052216A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200369790
—
IN
Enumeration date
08/04/2006
Last updated
01/20/2023
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