Individual
DR. PRAKASH R DHADPHALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 226-2569
(906) 226-3225
Mailing address
710 CHIPPEWA SQ, SUITE 103, MARQUETTE, MI 49855-4821
(906) 226-2569
(906) 226-3225
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
PD034430
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1261843
—
MI
Enumeration date
08/10/2005
Last updated
07/08/2007
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