Individual
DR. GREGORY PAUL DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2315 W 57TH ST, SIOUX FALLS, SD 57108-5041
(605) 336-3503
(605) 336-6010
Mailing address
2315 W 57TH ST, SIOUX FALLS, SD 57108-5041
(605) 336-3503
(605) 336-6010
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
13952
NH
207Y00000X
Otolaryngology Physician
RT1606
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326063678
—
SD
05
—
30207832
—
NH
Enumeration date
07/13/2006
Last updated
04/28/2016
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