Healthcare Provider Details

I. General information

NPI: 1326677279
Provider Name (Legal Business Name): DANIEL WILLIAM COLE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2020
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 DAN HOEY RD STE A
DEXTER MI
48130-4201
US

IV. Provider business mailing address

7200 DAN HOEY RD STE A
DEXTER MI
48130-4201
US

V. Phone/Fax

Practice location:
  • Phone: 734-726-9992
  • Fax:
Mailing address:
  • Phone: 734-726-9992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number4301512054
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: