Healthcare Provider Details

I. General information

NPI: 1306883251
Provider Name (Legal Business Name): RADIOLOGY ASSOCIATES OF MUNCIE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 W TIPTON ST
SEYMOUR IN
47274-2363
US

IV. Provider business mailing address

PO BOX 5789
LONGVIEW TX
75608-5789
US

V. Phone/Fax

Practice location:
  • Phone: 812-522-2349
  • Fax:
Mailing address:
  • Phone: 903-663-4800
  • Fax: 419-223-2726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL J. DAUNHAUER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 765-215-7650