Individual
MICHAEL DACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2950 RESEARCH PARK DR, SOQUEL, CA 95073-2000
(831) 458-5548
Mailing address
2950 RESEARCH PARK DR, SOQUEL, CA 95073-2000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A81790
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A81790
CA
Other
Enumeration date
01/17/2006
Last updated
10/12/2020
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