Individual
DR. DANIEL M METZGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2002 S 11TH ST, NILES, MI 49120-4074
(269) 687-0200
(269) 684-0199
Mailing address
2002 S 11TH ST, NILES, MI 49120-4074
(269) 687-0200
(269) 684-0199
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01029510A
IN
207Q00000X
Family Medicine Physician
Primary
4301044672
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0111100142
BLUE CROSS PIN
MI
05
—
2894019
—
MI
01
—
80085309
RAILROAD MEDICARE
MI
Enumeration date
06/20/2006
Last updated
03/07/2023
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