Provider Demographics
NPI:1851446942
Name:MCGRAW, DANIEL JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JOHN
Last Name:MCGRAW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 LEWIS ST S
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-1448
Mailing Address - Country:US
Mailing Address - Phone:952-445-6384
Mailing Address - Fax:952-445-6385
Practice Address - Street 1:225 LEWIS ST S
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-1448
Practice Address - Country:US
Practice Address - Phone:952-445-6384
Practice Address - Fax:952-445-6385
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2195111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN832528600Medicaid
MN32137MCOtherBLUE CROSS/BLUE SHIELD OF MN
MN0148OtherHEALTH SERVICE MANAGEMENT
MN230549OtherCHIRO CARE OF MN
MN359000470Medicare PIN