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Organization
JEFFREY DANTO DPM
Active
Organization
JEFFREY DANTO DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY DANTO DPM (OWNER)
(248) 674-4141
Entity
Organization
Contact information
Practice address
4396 DIXIE HWY STE 1, WATERFORD, MI 48329-3564
(248) 674-4141
(248) 674-9581
Mailing address
4396 DIXIE HWY STE 1, WATERFORD, MI 48329-3564
(248) 674-4141
(248) 674-9581
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
JD40008
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1863410
—
MI
01
—
4596230001
DME MEDICARE
—
01
—
480F373190
BLUE CROSS
MI
01
—
540F335340
BC DME ID
MI
01
—
JD400208
LICENSE NUMBER
MI
Enumeration date
03/20/2007
Last updated
01/11/2011
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