Individual
GAIL L DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2975 HIGHWAY 2 E, RUGBY, ND 58368-7801
(701) 776-5235
(701) 776-5297
Mailing address
2975 HIGHWAY 2 E, RUGBY, ND 58368-7801
(701) 776-5235
(701) 776-5297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0017
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1456479
—
ND
01
—
N26302
BLUE SHIELD
ND
01
—
N714229
MEDICARE PTAN
ND
Enumeration date
09/24/2006
Last updated
03/17/2025
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