Individual
BRIAN L DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
331 MAINE ST., SUITE 1, BRUNSWICK, ME 04011-3359
(207) 725-2161
Mailing address
8 HAYWOOD LN, BRUNSWICK, ME 04011-7124
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT661
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269050099
—
ME
Enumeration date
10/17/2006
Last updated
06/19/2013
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