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NPI Code Detail

MEDICARE: DANIEL D HARDIE M.D.

MEDICARE:   DANIEL D HARDIE  M.D.
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
1207Q00000XFamily Medicine PhysicianDH047724MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669476925
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL D HARDIE M.D.
Provider Business Mailing Address
First Line : 107 W MAIN ST
Second Line :
City : MARQUETTE
State : MI
Zip : 49855
Country : US
Telephone Number : 906-225-3988
Fax Number : 906-225-4707
Provider Business Practice Location Address
First Line : 107 W MAIN ST
Second Line :
City : MARQUETTE
State : MI
Zip : 49855
Country : US
Telephone Number : 906-225-3988
Fax Number : 906-225-4707
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 10/19/2011

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Directions to “ DANIEL D HARDIE M.D.” Practice Location

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