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NPI Code Detail

MEDICARE: YI LING DAI MD

MEDICARE:   YI LING  DAI  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician4301511300MI
2207R00000XInternal Medicine Physician4352000982MI
3207W00000XOphthalmology Physician1014825MA

General Provider Information

NPI Number : 1346801578
Entity Type Code : Individual
Provider Name (Legal Business Name) : YI LING DAI MD
Provider Business Mailing Address
First Line : 33080 UTICA RD STE B
Second Line :
City : FRASER
State : MI
Zip : 48026-2038
Country : US
Telephone Number : 862-967-2505
Fax Number : 586-944-2315
Provider Business Practice Location Address
First Line : 1701 SOUTH BLVD E STE 180
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-6115
Country : US
Telephone Number : 248-293-5161
Fax Number : 248-564-2954
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2019
Last Update Date : 11/14/2024

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Directions to “ YI LING DAI MD” Practice Location

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