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NPI Code Detail

MEDICARE: GERALD A DAYHARSH MD

MEDICARE:   GERALD A DAYHARSH  MD
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician4301081179MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356338990
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALD A DAYHARSH MD
Provider Business Mailing Address
First Line : 6810 RELIABLE PKWY
Second Line :
City : CHICAGO
State : IL
Zip : 60686-0001
Country : US
Telephone Number : 800-678-1861
Fax Number :
Provider Business Practice Location Address
First Line : 1521 GULL RD
Second Line :
City : KALAMAZOO
State : MI
Zip : 49048-1640
Country : US
Telephone Number : 269-226-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2005
Last Update Date : 07/08/2011

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Directions to “ GERALD A DAYHARSH MD” Practice Location

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