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NPI Code Detail

MEDICARE: ANNEMARIE LINDA DALY M.D.

MEDICARE: ANNEMARIE LINDA DALY M.D.
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
1207R00000XInternal Medicine PhysicianAD054293MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4CG3568OTHERMIRAILROAD MEDICARE GROUP #
5060057218OTHERMIRAILROAD MEDICARE ID #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2700E811600OTHERMIBCBS GROUP PIN
3700H249500OTHERMIBCBS GROUP PIN

General Provider Information

NPI Number : 1588631147
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNEMARIE LINDA DALY M.D.
Provider Business Mailing Address
First Line : PO BOX 1239
Second Line :
City : TROY
State : MI
Zip : 48099-1239
Country : US
Telephone Number : 248-824-6600
Fax Number : 855-618-6655
Provider Business Practice Location Address
First Line : 500 KIRTS BLVD
Second Line :
City : TROY
State : MI
Zip : 48084-4134
Country : US
Telephone Number : 248-824-6600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2006
Last Update Date : 10/23/2020

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Directions to “ ANNEMARIE LINDA DALY M.D.” Practice Location

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