MEDICARE: DR. DANIEL JOHN SELLINGER DPM

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	213EP1101X	Primary Podiatric Medicine Podiatrist	DS001554	MI
2	213ES0103X	Foot & Ankle Surgery Podiatrist	DS001554	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	480024191	OTHER	MI	RAILROAD MEDICARE
2	MI2461001	OTHER	MI	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	4858152110	OTHER	MI	BLUE CROSS BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487763306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL JOHN SELLINGER DPM

Provider Business Mailing Address
First Line	:	984 PRATT RIDGE CT
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48103-1402
Country	:	US
Telephone Number	:	734-763-5082
Fax Number	:

Provider Business Practice Location Address
First Line	:	2340 E STADIUM BLVD
Second Line	:	SUITE 5
City	:	ANN ARBOR
State	:	MI
Zip	:	48104-4823
Country	:	US
Telephone Number	:	734-971-7177
Fax Number	:	734-971-7377

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	04/07/2010

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Directions to “ DR. DANIEL JOHN SELLINGER DPM” Practice Location

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