Individual
JENNIFER MARIE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 WARDER ST, SUITE 220, SPRINGFIELD, OH 45504-2500
(937) 399-7021
(937) 399-0697
Mailing address
30 WARDER ST, SUITE 220, SPRINGFIELD, OH 45504-2500
(937) 399-7021
(937) 399-0697
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OH35-084309
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2484002
—
OH
Enumeration date
08/04/2006
Last updated
04/06/2021
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