Individual
JOHN MARK MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10649 BENNETT PKWY, ZIONSVILLE, IN 46077-7849
(317) 873-6700
(317) 873-8200
Mailing address
10649 BENNETT PKWY, ZIONSVILLE, IN 46077-7849
(317) 873-6700
(317) 873-8200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01029506
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100097000
—
IN
Enumeration date
10/04/2006
Last updated
03/24/2021
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