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NPI 1972504918

NPI 1972504918 : DEAN W SINGER DPM : FLINT, MI

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General NPI Number Information
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    NPI Number           |    1972504918
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    Entity Type          |    Individual 
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    Provider Name        |    DEAN W SINGER DPM
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/01/2005
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    Last Update Date     |    05/24/2010
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Provider Practice Location Address
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    Address Line         |    1303 LINDEN RD SUITE D
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    City                 |    FLINT
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    State                |    MI
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    Zip                  |    48532
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    Country              |    US
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    Telephone            |    810-230-0177
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    Fax                  |    810-230-8090
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Provider Business Mailing Address
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    Address Line         |    3122 PARK MEADOW DR 
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    City                 |    LAKE ORION
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    State                |    MI
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    Zip                  |    48362-2061
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    Country              |    US
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    Telephone            |    810-730-0999
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    Fax                  |    810-730-0999
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    DS001654
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    License Number State |    MI
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