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NPI Code Detail

MEDICARE: BRIAN WILLIAM DALEY D.P.M.

MEDICARE:   BRIAN WILLIAM DALEY  D.P.M.
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
1213ES0103XFoot & Ankle Surgery Podiatrist5901002205MI
2213E00000XPodiatrist5901002205MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11598984189OTHERMINPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598984189
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN WILLIAM DALEY D.P.M.
Provider Business Mailing Address
First Line : 2232 S MAIN ST
Second Line : STE 405
City : ANN ARBOR
State : MI
Zip : 48103-6938
Country : US
Telephone Number : 734-972-0274
Fax Number :
Provider Business Practice Location Address
First Line : 2232 S MAIN ST
Second Line : STE 405
City : ANN ARBOR
State : MI
Zip : 48103-6938
Country : US
Telephone Number : 734-972-0274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2007
Last Update Date : 03/03/2017

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Directions to “ BRIAN WILLIAM DALEY D.P.M.” Practice Location

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