Individual
DANIEL L SURETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-5111
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD154519
OR
208M00000X
Hospitalist Physician
MD154519
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R186230
—
OR
Enumeration date
06/04/2008
Last updated
11/06/2020
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