| Doctor Name: | EDWARD EUGENE DAIGLE |
| NPI Number: | 1356476444 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.T. |
| License Number: | |
| Business Practice Address: | 425 7th St Nw Cass Lake, MN - 566333360 |
| Business Phone Number: | 2183353258 |
| Business Fax Number: | 2183353265 |
| Mailing Address: | 4567 Wolf Lake Dr Se, BEMIDJI |
| State: | MN |
| Postal Code: | 566017348 |
| Phone Number: | 2183338651 |
| Fax Number: | 2183353265 |
| NPI Enumeration Date: | 02/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246QM0706X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Spec/Tech, Pathology |
| Taxonomy Specialization: | Medical Technologist |
| Taxonomy Definition: | |