Healthcare Provider Details

I. General information

NPI: 1013919182
Provider Name (Legal Business Name): DANIEL M. FRIEDLAND M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2005
Last Update Date: 10/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 HOOPER ST. MILES FAMILY MEDICINE - WISCASSET
WISCASSET ME
04578
US

IV. Provider business mailing address

49 HOOPER ST. MILES FAMILY MEDICINE - WISCASSET
WISCASSET ME
04578
US

V. Phone/Fax

Practice location:
  • Phone: 207-882-7911
  • Fax: 207-882-6178
Mailing address:
  • Phone: 207-882-7911
  • Fax: 207-882-6178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number013806
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: