Individual
DANIEL B BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
112 INDEPENDENCE WAY, SUITE 110, CLYDE, OH 43410-9811
(419) 483-9000
(419) 483-9004
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 609-1112
(419) 609-1123
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35080403B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2301333
—
OH
01
—
P00345168
MEDICARE RAILROAD
OH
Enumeration date
03/23/2006
Last updated
03/21/2016
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