Individual
DANIEL L MAYER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
20455 LORAIN RD, SUITE 104, FAIRVIEW PARK, OH 44126-3494
(440) 333-4383
(440) 333-4192
Mailing address
20455 LORAIN RD, SUITE 104, FAIRVIEW PARK, OH 44126-3494
(440) 333-4383
(440) 333-4192
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34007987
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2411956
—
OH
Enumeration date
05/25/2006
Last updated
07/08/2007
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