Individual
DR. TERRY R DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PD MDIV
Contact information
Practice address
222 N WAYNE ST, WARREN, IN 46792-0345
(260) 375-2135
Mailing address
PO BOX 345, WARREN, IN 46792-0345
(260) 375-2135
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
031585-1
NY
183500000X
Pharmacist
Primary
26091932A
IN
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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