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Individual

DR. MIKEL D DANIELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
20 CROSSROADS DR, STE 14, OWINGS MILLS, MD 21117-5479
(410) 363-4343
(410) 356-6373
Mailing address
20 CROSSROADS DR, STE 14, OWINGS MILLS, MD 21117-5479
(410) 363-4343
(410) 356-6373

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD01353
MD
213ES0103X
Foot & Ankle Surgery Podiatrist
MD01353
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
404420700405429600
MD
Enumeration date
06/22/2005
Last updated
03/18/2015
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