Randall J Mcdaniel in Wauwatosa - Oral And Maxillofacial Pathology
Randall J Mcdaniel - NPI 1518063874
Randall J Mcdaniel is a Oral And Maxillofacial Pathology in Wauwatosa, Wisconsin. Randall J Mcdaniel practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Randall J Mcdaniel is 1518063874. The last update date is 2007-07-08.
Randall J Mcdaniel's current location address is 2626 N 76th St, Wauwatosa, Wisconsin. You can contact this provider via phone number 4144769400. The mailing address for Randall J Mcdaniel is 2626 N 76th St, Wauwatosa, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall J Mcdaniel |
|---|---|
| Address | 2626 N 76th St, Wauwatosa, Wisconsin |
| Phone Number | 4144769400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1518063874 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2626 N 76th St |
|---|---|
| City | Wauwatosa |
| State | Wisconsin (WI) |
| Post Code | 53213 |
| Phone Number | 4144769400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Pathology |
|---|---|
| Taxonomy | 1223P0106X |
| Licence No | 5934-015 |
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Definition: The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these |
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What is the unique 10-digit identifier code assigned to Randall J Mcdaniel by the Centers for Medicare & Medicaid Services?
The Randall J Mcdaniel has been issued the NPI (National Provider Identifier) 1518063874 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Randall J Mcdaniel?
The Randall J Mcdaniel is situated at 2626 N 76Th St, in the city of Wauwatosa, state of WI, with the zip code 53213.
What is Randall J Mcdaniel's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Randall J Mcdaniel is Oral And Maxillofacial Pathology, and the taxonomy code that classifies this field of practice is 1223P0106X.
When was the Randall J Mcdaniel's 1518063874 issued?
The Randall J Mcdaniel's 1518063874 was issued on 2006-09-15.
When was the information regarding Randall J Mcdaniel, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Randall J Mcdaniel, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA