Provider Demographics
NPI:1992703607
Name:STRICKLAND, DANIEL MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:MICHAEL
Last Name:STRICKLAND
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:PO BOX 10
Mailing Address - Street 2:415 BRENNA LN
Mailing Address - City:LANSING
Mailing Address - State:NC
Mailing Address - Zip Code:28643-0010
Mailing Address - Country:US
Mailing Address - Phone:336-384-4915
Mailing Address - Fax:336-384-4915
Practice Address - Street 1:415 BRENNA LN
Practice Address - Street 2:USPS 10
Practice Address - City:LANSING
Practice Address - State:NC
Practice Address - Zip Code:28643-9416
Practice Address - Country:US
Practice Address - Phone:336-384-4915
Practice Address - Fax:336-384-4915
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC35762207VE0102X, 207VG0400X, 207VX0000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
No207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891098UMedicaid
1098UOtherBCBS
81749OtherMEDCOST
C22358Medicare UPIN
NC2248271Medicare PIN