Individual
NATHAN B DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1990 CONNECTICUT AVE S, SARTELL, MN 56377-2554
(320) 257-7787
(320) 257-5596
Mailing address
1990 CONNECTICUT AVE S, SARTELL, MN 56377-2554
(320) 257-7787
(320) 257-5596
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
106949
MN
2085R0202X
Diagnostic Radiology Physician
5101017750
MI
2085R0202X
Diagnostic Radiology Physician
Primary
56849
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467761130
—
MN
Enumeration date
09/29/2010
Last updated
08/12/2014
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