Male or Other

Daniel E. Hathaway MD

Rheumatology Physician in Saint Paul, MN(View on Map)

Full Name

Daniel E Hathaway MD

NPI Number

1386618874

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/14/2006

Specialties

(Taxonomies)

Code

207RR0500X

Primary Taxonomy

Yes

Licenses

State

Minnesota
Wisconsin

License Number

20389
17329

Contact
Information

Purpose

Mailing
Location

Address

401 PHALEN BLVD
401 PHALEN BLVD

City

Saint Paul
Saint Paul

State

MN
MN

Postal Code

55130-5302
55101-5302

Country

US
US

Telephone Number

(651) 254-7800
(651) 254-7800

Identifiers

Identifier

528877100

Identifier State

MN

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/11/2015

Provider Address

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