Healthcare Provider Details

I. General information

NPI: 1295394005
Provider Name (Legal Business Name): DANIELLE MCMILLEN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE MARIE CHAMBERLAIN

II. Dates (important events)

Enumeration Date: 06/06/2019
Last Update Date: 09/20/2025
Certification Date: 09/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1316 S MAIN ST
CLARION IA
50525-2019
US

IV. Provider business mailing address

1316 S MAIN ST
CLARION IA
50525-2019
US

V. Phone/Fax

Practice location:
  • Phone: 844-474-4321
  • Fax: 515-532-3119
Mailing address:
  • Phone: 844-474-4321
  • Fax: 319-343-1161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberDO55474
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberR-11624
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: