Individual
DANIEL JUERGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
89 SYLVANIA DR, DAYTON, OH 45440-3281
(937) 320-2020
(937) 320-0504
Mailing address
89 SYLVANIA DR, DAYTON, OH 45440-3281
(937) 320-2020
(937) 320-0504
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
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