MEDICARE: DR. DANIEL MARK HESLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	134727	NC
2	207L00000X	Anesthesiology Physician	01064010A	IN

General Provider Information

NPI Number	:	1114138211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL MARK HESLER MD

Provider Business Mailing Address
First Line	:	PO BOX 78838
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48278-0838
Country	:	US
Telephone Number	:	317-528-4800
Fax Number	:	317-865-1479

Provider Business Practice Location Address
First Line	:	4718 EVANSTON AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46205-1432
Country	:	US
Telephone Number	:	317-946-0060
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	10/20/2023

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