Individual
KENNETH DAUPHINEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 SOUTH DR, MT PLEASANT, MI 48858-3258
(989) 772-6700
(989) 772-6807
Mailing address
1221 SOUTH DR, MT PLEASANT, MI 48858-3258
(989) 772-6700
(989) 772-6807
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MI4301065220
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4798817
—
MI
Enumeration date
07/17/2006
Last updated
09/16/2010
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