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

Mary McDaniel, MD

Individual provider Registered Dietitian · NPI 1184015984

Mary McDaniel, MD is a Dermatology in De Pere, Wisconsin. Graduated from Northeastern Ohio University College of Medicine in 2019, 7 years ago. Practices with Forefront Dermatology SC, a 645-clinician group and accepts Medicare assignment. Licensed in Ohio and Wisconsin.

Years since qualifying
7
Trained at
Northeastern Ohio University College of Medicine
Licensed in
OH, WI
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1400 Scheuring Rd
De Pere, WI 54115-1067
Phone: (920) 964-0229
Fax: (920) 964-0248
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 81655-20 (WI)
Registered Dietitian Taxonomy 133V00000X · Licence 7327 (OH)

Record details

NPI number1184015984
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 16, 2015
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023
Mailing address801 York St, Manitowoc, WI 54220-4630

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolNORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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