Individual
DANIEL JUERGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35038872J
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000005856
ANTHEM
OH
05
—
0362932
—
OH
01
—
0820025
UNITED HEATHCARE
OH
01
—
180009207
MEDICARE RAILROAD
OH
01
—
1801815303
NPI
OH
Enumeration date
07/18/2006
Last updated
02/13/2013
Update your record
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