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NPI Code Detail

MEDICARE: DR. DANIEL JOHN GROWNEY M.D.

MEDICARE: DR. DANIEL JOHN GROWNEY 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
1208600000XSurgery Physician2855-320WI
2208600000XSurgery Physician19007NE

Other Identifiers

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

General Provider Information

NPI Number : 1659367936
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL JOHN GROWNEY M.D.
Provider Business Mailing Address
First Line : 2114 N LINCOLN AVE
Second Line : SUITE B
City : YORK
State : NE
Zip : 68467-1072
Country : US
Telephone Number : 402-362-4339
Fax Number : 402-362-7743
Provider Business Practice Location Address
First Line : 2114 N LINCOLN AVE
Second Line : SUITE B
City : YORK
State : NE
Zip : 68467-1028
Country : US
Telephone Number : 402-362-4339
Fax Number : 402-362-7743
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2005
Last Update Date : 07/06/2023

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