Individual
DR. BRIAN K. DAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
510 LINCOLN DRIVE, HERRIN, IL 62948
(618) 997-6800
(618) 997-1187
Mailing address
510 LINCOLN DRIVE, HERRIN, IL 62948
(618) 997-6800
(618) 997-1187
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036.131162
IL
208600000X
Surgery Physician
ML20008529
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036131162
—
IL
Enumeration date
08/20/2006
Last updated
02/27/2014
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