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Individual

DANIEL MANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
400 W 7TH ST, FREDERICK, MD 21701-4506
(240) 566-3330
Mailing address
PO BOX 730, FREDERICK, MD 21705-0730
(301) 631-9191
(301) 631-1002

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C001190
MD
363A00000X
Physician Assistant
Primary
C001190
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
762671100
MD
Enumeration date
06/22/2006
Last updated
08/20/2013
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