Healthcare Provider Details

I. General information

NPI: 1003818022
Provider Name (Legal Business Name): JACQUES GERARD DARMON DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 11/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26900 CRESTWOOD DR
FRANKLIN MI
48025-1378
US

IV. Provider business mailing address

PO BOX 250133
FRANKLIN MI
48025-0133
US

V. Phone/Fax

Practice location:
  • Phone: 248-670-2733
  • Fax: 248-855-8663
Mailing address:
  • Phone: 248-670-2733
  • Fax: 248-855-8663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number5901001485
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: