NPI 1659065191

William Warren McDaniel

Practitioner Driver Merrillville, IN

Practice location

Address: 5409 Dexter Dr, Merrillville, IN 46410-1744
Phone: (219) 238-1684

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 5360105334 (IN)

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Registry record

NPI: 1659065191
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jun 2023
Record last updated: 19 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.