Mcdaniel, Mary

Mcdaniel, Mary is an individual health care provider with primary practice located at 1400 Scheuring Rd , De Pere WI 54115-1067. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Mcdaniel, Mary can be contacted via phone (920) 964-0229.

Contact Information

Primary practice address
1400 Scheuring Rd De Pere WI 54115-1067
Phone: (920) 964-0229
Fax: (920) 964-0248
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 7327 Ohio
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 81655-20 Wisconsin

Profile Details

NPI number 1184015984
LBN Legal business name Mcdaniel, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2015
Last updated Aug 8th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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