Healthcare Provider Details

I. General information

NPI: 1699745430
Provider Name (Legal Business Name): DANIEL C ARONOVITZ D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 06/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31730 HOOVER RD SUITE B
WARREN MI
48093
US

IV. Provider business mailing address

31730 HOOVER RD STE. B
WARREN MI
48093-1700
US

V. Phone/Fax

Practice location:
  • Phone: 586-264-7300
  • Fax: 586-268-4630
Mailing address:
  • Phone: 586-264-7300
  • Fax: 586-268-4630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberDA001426
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: