Most Relevant Information
Provider Data
| NPI Number: | 1003357120 |
| Provider Name: | DANIELLE MURRAY |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/09/2017 |
| Last Updated: | 03/09/2017 |
Provider Practice Location
901 BOULDER DR
APT. 216
HERMANTOWN
MN
558111789
Practice Location Phone/Fax
| Phone: | 6083434710 |
| Fax: |
Provider Mailing Location
901 BOULDER DR
APT. 216
HERMANTOWN
MN
558111789
Provider Mailing Phone/Fax
| Phone: | 6083434710 |
| Fax: |