Individual
DR. KEVIN DAZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 BEAUBIEN, CHILDREN'S HOSPITAL OF MI, DETROIT, MI 48201
(313) 745-9778
(313) 993-0390
Mailing address
4201 ST. ANTIONE UHC 5D, UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201
(313) 966-5051
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301098509
MI
Other
Enumeration date
06/23/2011
Last updated
11/03/2014
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