Individual
DANIEL HENRY VOTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W. PARK ST., ED, URBANA, IL 61801-2500
(217) 383-3313
(217) 383-4014
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036136619
IL
207P00000X
Emergency Medicine Physician
4301100998
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301100998
MI
Other
Enumeration date
06/01/2012
Last updated
08/06/2015
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