Individual
DR. DANIEL WAKSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
319 SPRINGWOOD DR NE, VALDESE, NC 28690-8710
(419) 678-5101
Mailing address
190 CARL AUSTIN RD, STATESVILLE, NC 28625-2704
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OH34005538
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0912196
—
OH
Enumeration date
08/29/2006
Last updated
05/10/2016
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