Individual
DAVID A ALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11900 E 12 MILE RD, STE 201, WARREN, MI 48093-3490
(586) 574-2800
(586) 574-2803
Mailing address
11900 E 12 MILE RD, STE 201, WARREN, MI 48093-3490
(586) 574-2800
(586) 574-2803
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301056490
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070E015730
BCN ADVANTAGE
MI
01
—
100166
GREAT LAKES HEALTH
MI
01
—
100738
MOLINA HEALTH PLAN
MI
01
—
119608
CARE CHOICES
MI
01
—
1222960001
MIDWEST HEALTH PLAN
MI
01
—
29813
COMMUNITY CHOICE OF MICHI
MI
01
—
4566535
AETNA HMO
MI
05
—
4640535
—
MI
01
—
52686
OMNICARE
MI
01
—
C3488
MCARE
MI
01
—
DA056490
BCBSM AND BCN
MI
01
—
F22533
HAP
MI
01
—
ON96970001
BCBSM MEDICARE PLUS BLUE
MI
01
—
P00175581
TRAVELERS MEDICARE
MI
Enumeration date
06/17/2005
Last updated
07/28/2021
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