Individual
DANIEL CORNELIUS DANAHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4201 SOUTH 14TH ST, NEBR. STATE PENITENTIARY, LINCOLN, NE 68502
(402) 479-3291
(402) 479-3325
Mailing address
4900 DEER CREEK CIR, LINCOLN, NE 68516-5303
(402) 423-4267
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
333
NE
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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