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Individual

DANIEL LIENDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
24350 ORCHARD LAKE RD, SUITE 111, FARMINGTON HILLS, MI 48336-1970
(248) 888-7719
(630) 528-9507
Mailing address
1400 E PARKDALE AVE, MANISTEE, MI 49660-9776
(231) 398-1840
(231) 339-6183

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006319
MI
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
5601006319
MI

Other

Enumeration date
05/18/2012
Last updated
06/17/2024
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