Provider Demographics
NPI:1467766782
Name:KREBS, DANIEL W (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:W
Last Name:KREBS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:26908 INDEPENDENCE WAY
Mailing Address - Street 2:SAMARITAN FAMILY HEALTH CENTER - LERAY
Mailing Address - City:EVANS MILLS
Mailing Address - State:NY
Mailing Address - Zip Code:13637
Mailing Address - Country:US
Mailing Address - Phone:315-629-4525
Mailing Address - Fax:315-629-5751
Practice Address - Street 1:26908 INDEPENDENCE WAY
Practice Address - Street 2:SAMARITAN FAMILY HEALTH CENTER - LERAY
Practice Address - City:EVANS MILLS
Practice Address - State:NY
Practice Address - Zip Code:13637
Practice Address - Country:US
Practice Address - Phone:315-629-4525
Practice Address - Fax:315-629-5751
Is Sole Proprietor?:No
Enumeration Date:2010-07-28
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD60359436207Q00000X
NY288933207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine