Healthcare Provider Details

I. General information

NPI: 1760583538
Provider Name (Legal Business Name): DANIEL ANDREW HILBRICH DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32669 W WARREN RD STE 10
GARDEN CITY MI
48135
US

IV. Provider business mailing address

32669 W WARREN RD STE 10
GARDEN CITY MI
48135
US

V. Phone/Fax

Practice location:
  • Phone: 734-762-0500
  • Fax: 734-762-0530
Mailing address:
  • Phone: 734-762-0500
  • Fax: 734-762-0530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207NI0002X
TaxonomyClinical & Laboratory Dermatological Immunology Physician
License Number5101013288
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: