Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel A Boll, MD

Individual provider Nuclear Radiology Physician · NPI 1487648184

Daniel A Boll, MD is a Nuclear Radiology Physician in Mishawaka, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
Specialties on file
8
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

620 W Edison Rd Ste 110
Mishawaka, IN 46545-2784
Phone: (574) 258-1100
Fax: (574) 258-1101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 01035496 (IN)
Nuclear Radiology Physician Taxonomy 2085N0904X · Licence 01035496 (IN)
Body Imaging Physician Taxonomy 2085B0100X · Licence 01035496 (IN)
Neuroradiology Physician Taxonomy 2085N0700X · Licence 01035496 (IN)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence 01035496 (IN)
Therapeutic Radiology Physician Taxonomy 2085R0203X · Licence 01035496 (IN)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 01035496 (IN)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X · Licence 01035496 (IN)

Record details

NPI number1487648184
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 8, 2005
Last updated in NPPESMay 2, 2013
Mailing address620 W Edison Rd, Suite 110, Mishawaka, IN 46545-2784

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