Individual
DR. DANIEL PILADE DALL'OLMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10850 E TRAVERSE HWY, SUITE 60, TRAVERSE CITY, MI 49684-1364
(231) 935-0497
Mailing address
10850 E TRAVERSE HWY, SUITE 60, TRAVERSE CITY, MI 49684-1364
(231) 935-0497
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301046222
MI
2085R0204X
Vascular & Interventional Radiology Physician
4301046222
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1774375
—
MI
01
—
300047532
RAILROAD MEDICARE
MI
Enumeration date
07/27/2006
Last updated
01/13/2014
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