Individual
ETHAN PHILIP MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5310 SAINT GEORGES AVE, BALTIMORE, MD 21212-4346
(443) 723-7612
Mailing address
5310 SAINT GEORGES AVE, BALTIMORE, MD 21212-4346
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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