Individual
DR. MILES DANIEL MANN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3700 WASHINGTON AVE, EVANSVILLE, IN 47714-0541
(812) 473-0181
Mailing address
8528 LAKE CLEARWATER LN APT 1022, INDIANAPOLIS, IN 46240-7743
(812) 319-2825
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01089625A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11021916A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881222875
—
IN
Enumeration date
03/27/2020
Last updated
05/08/2024
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