Basic Information
Provider Information
NPI: 1255507463
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINN
FirstName: DANIEL
MiddleName: TAYLOR
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7601 PIONEERS BLVD
Address2:  
City: LINCOLN
State: NE
PostalCode: 685064675
CountryCode: US
TelephoneNumber: 4024846677
FaxNumber:  
Practice Location
Address1: 7601 PIONEERS BLVD
Address2:  
City: LINCOLN
State: NE
PostalCode: 685064675
CountryCode: US
TelephoneNumber: 4024846677
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/07/2008
LastUpdateDate: 04/24/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X2013005672MON Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0202X04-34252KSN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0202X29956NEY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0202X44237IAN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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