Individual
MR. DANIEL PATRICK CASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
PA2255
ME
363AS0400X
Surgical Physician Assistant
55713
CA
363AS0400X
Surgical Physician Assistant
Primary
PA2255
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2255
STATE LICENSE
ME
Enumeration date
06/01/2018
Last updated
02/03/2025
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