Provider Demographics
NPI:1558504803
Name:MOSEL, DANIEL DEAN (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:DEAN
Last Name:MOSEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2509 HALLIGAN DRIVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-7858
Mailing Address - Country:US
Mailing Address - Phone:308-532-4165
Mailing Address - Fax:308-532-4605
Practice Address - Street 1:2509 HALLIGAN DR STE E
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-7858
Practice Address - Country:US
Practice Address - Phone:308-532-4165
Practice Address - Fax:308-532-4605
Is Sole Proprietor?:No
Enumeration Date:2009-04-16
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV27070207ND0101X
NE27070207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery