MEDICARE: DNG GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	227800000X	Certified Respiratory Therapist	4401004404	MI

General Provider Information

NPI Number	:	1174789556
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DNG GROUP INC

Provider Business Mailing Address
First Line	:	6178 DEXTER ST
Second Line	:
City	:	ROMULUS
State	:	MI
Zip	:	48174-1830
Country	:	US
Telephone Number	:	734-749-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3047 S FORT ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48217-1032
Country	:	US
Telephone Number	:	313-406-9259
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NICOLE DAVIS
Credential	:
Telephone Number	:	734-749-4000

Provider Enumeration Date	:	08/05/2008
Last Update Date	:	01/18/2012

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