Individual
MR. DANIEL WALTER ABEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4630 VISTULA RD, MISHAWAKA, IN 46544-4000
(574) 647-1900
(574) 647-7206
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01072599A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000820534
BCBS
IN
05
—
201071850
—
IN
01
—
P01302712
RR MEDICARE
IN
Enumeration date
06/24/2010
Last updated
03/30/2021
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