Provider Demographics
NPI:1629073721
Name:DANKO, WILLIAM R (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:R
Last Name:DANKO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 643954
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45264-3954
Mailing Address - Country:US
Mailing Address - Phone:513-677-9117
Mailing Address - Fax:513-677-0045
Practice Address - Street 1:87 E US HIGHWAY 22 AND 3
Practice Address - Street 2:SUITE 800
Practice Address - City:MAINEVILLE
Practice Address - State:OH
Practice Address - Zip Code:45039-7841
Practice Address - Country:US
Practice Address - Phone:513-677-9117
Practice Address - Fax:513-677-0045
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35063773D207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0998943Medicaid
OH0998943Medicaid
OH4046744Medicare PIN