# DR. DAVID BASCH & DR. ALAN WIDLANSKY, PLLC DBA DNA MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922449776
- **Authorized official:** DR. ALAN WIDLANSKY D.O. (PHYSICIAN)
- **Authorized official phone:** (248) 335-9970

## Contact information

- **Practice address:** 486 W HURON ST, PONTIAC, MI 48341-1602
- **Practice address phone:** (248) 335-9970
- **Mailing address:** 486 W HURON ST, PONTIAC, MI 48341-1602
- **Mailing address phone:** (248) 335-9970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 5101013808 | MI | Yes |

## Other

- **Enumeration date:** 07/09/2013
- **Last updated:** 07/09/2013
