Individual
DANIEL W MUDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 N PICKAWAY ST, SUITE 102, CIRCLEVILLE, OH 43113-1447
(740) 420-8174
(740) 420-8185
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
141783
NC
207R00000X
Internal Medicine Physician
225321
MA
207R00000X
Internal Medicine Physician
35096961
OH
207RC0000X
Cardiovascular Disease Physician
Primary
35096961
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3147973
—
OH
Enumeration date
07/16/2006
Last updated
01/05/2022
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