Provider Demographics
NPI:1487902557
Name:NEBERT, DANIEL WALTER (MD)
Entity type:Individual
Prefix:PROF
First Name:DANIEL
Middle Name:WALTER
Last Name:NEBERT
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:UNIVERSITY CINCINNATI MEDICAL CTR
Mailing Address - Street 2:P.O BOX 670056
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45267-0001
Mailing Address - Country:US
Mailing Address - Phone:513-821-4664
Mailing Address - Fax:513-558-4897
Practice Address - Street 1:20 OLIVER RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-2631
Practice Address - Country:US
Practice Address - Phone:513-821-4664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-21
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0646601744R1102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study