Individual
MICHELLE L DAILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 WATERSTRADT-COMMERCE DRIVE, SUITE 1, DUNDEE, MI 48131
(734) 823-5437
Mailing address
120 WATERSTRADT-COMMERCE DRIVE, SUITE 1, DUNDEE, MI 48131
(734) 823-5437
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301089200
MI
208000000X
Pediatrics Physician
ME 89768
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43128
BLUE CROSS
FL
Enumeration date
03/27/2006
Last updated
07/16/2007
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