Individual
DR. MICHAEL DARGAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5450 FORT ST, EMERGENCY MEDICINE DEPARTMENT, TRENTON, MI 48183-4601
(734) 671-3883
(734) 671-3546
Mailing address
38935 ANN ARBOR RD, CREDENTIALING/PAYER CONTRACTING, LIVONIA, MI 48150-3397
(734) 632-0175
(734) 632-0182
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101009951
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0158208345
BCBS
MI
01
—
11274482
CAQH
—
05
—
1245218734
—
MI
01
—
MD009951
BCBS
—
Enumeration date
01/04/2006
Last updated
07/19/2010
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