Individual
DANIELLE LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7200
Mailing address
5900 BYRON CENTER AVE SW, MEDICAL ADMINISTRATION, WYOMING, MI 49519-9606
(616) 252-3243
(616) 252-0260
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301074270
MI
208M00000X
Hospitalist Physician
Primary
4301074270
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D16078419
—
MI
Enumeration date
06/01/2006
Last updated
04/24/2026
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