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NPI Code Detail

MEDICARE: CLARISSA DASS D.O.

MEDICARE: CLARISSA DASS D.O.
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
1207Q00000XFamily Medicine Physician5101020960MI
2207RC0000XCardiovascular Disease Physician5101020960MI

General Provider Information

NPI Number : 1598175259
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLARISSA DASS D.O.
Provider Business Mailing Address
First Line : 50 N PERRY ST
Second Line :
City : PONTIAC
State : MI
Zip : 48342-2217
Country : US
Telephone Number : 248-338-5000
Fax Number :
Provider Business Practice Location Address
First Line : 50 N PERRY ST
Second Line :
City : PONTIAC
State : MI
Zip : 48342-2217
Country : US
Telephone Number : 248-338-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2014
Last Update Date : 02/02/2026

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Directions to “ CLARISSA DASS D.O.” Practice Location

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