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Individual

DR. DANIEL CECIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2015 JACKSON ST, ANDERSON, IN 46016-4337
(765) 646-8243
(765) 646-8655
Mailing address
2015 JACKSON ST, ANDERSON, IN 46016-4337
(765) 646-8243
(765) 646-8655

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
01033460A
IN
207P00000X
Emergency Medicine Physician
Primary
01033460A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100467590
IN
01
930126120
MEDICARE RR
IN
Enumeration date
06/16/2005
Last updated
12/07/2011
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