Individual
MR. MICHAEL KEITH DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
820 GALE LN, NASHVILLE, TN 37204-3012
(615) 298-5406
Mailing address
1125 BATTERY LN, NASHVILLE, TN 37220-1051
(901) 482-1951
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2255
TN
Other
Enumeration date
11/02/2012
Last updated
11/02/2012
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