MEDICARE: DANIELLE HARLAN METZLER M.D.

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	207Q00000X	Family Medicine Physician	35786	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538507736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE HARLAN METZLER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 632516
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-2516
Country	:	US
Telephone Number	:	888-472-0043
Fax Number	:	513-653-4122

Provider Business Practice Location Address
First Line	:	325 FOLLY RD STE 102B
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29412-2507
Country	:	US
Telephone Number	:	843-762-2323
Fax Number	:	843-762-7629

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

Provider Enumeration Date	:	06/10/2013
Last Update Date	:	04/15/2026

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