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Individual

DR. DANIEL M IBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9957 SHERRILL BLVD, KNOXVILLE, TN 37932-3366
(865) 693-2255
(865) 691-7888
Mailing address
PO BOX 10988, KNOXVILLE, TN 37939-0988
(865) 862-0998
(865) 544-1861

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
29724
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6055128
BCBS
TN
01
P01572568
MEDICARE RR
TN
05
Q011395
TN
Enumeration date
01/23/2006
Last updated
03/02/2021
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