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Individual

DR. DENNIS L DISCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
61 N SAINT JOSEPH AVE, NILES, MI 49120-2207
(269) 684-6777
(269) 683-5384
Mailing address
61 N SAINT JOSEPH AVE, NILES, MI 49120-2207
(269) 684-6777
(269) 683-5384

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
104853
MO
207RC0000X
Cardiovascular Disease Physician
Primary
4301115814
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208700203
MO
Enumeration date
06/24/2005
Last updated
09/04/2018
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