Individual
DANIEL A FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3950 RED BANK RD, CINCINNATI, OH 45227-3429
(513) 333-2580
(513) 333-2584
Mailing address
237 WILLIAM HOWARD TAFT, PHYS DIV, 2ND FL, CBO2-3, ATTN: CREDENTIALING, CINCINNATI, OH 45219-2906
(513) 263-8571
(513) 366-4480
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35053366
OH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
35053366
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0683676
—
OH
Enumeration date
06/30/2005
Last updated
12/19/2014
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