Individual
DR. SUSAN MARIE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
280 W KAGY BLVD, STE G, BOZEMAN, MT 59715-6056
(406) 522-5437
(406) 522-1536
Mailing address
280 W KAGY BLVD, STE G, BOZEMAN, MT 59715-6056
(406) 522-5437
(406) 522-1536
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11251
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343698500
—
MN
Enumeration date
07/21/2006
Last updated
03/05/2015
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