Organization
DANIEL KULICK DO, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL KULICK DO (PRESIDENT / PHYSICIAN OWNER)
(586) 846-3701
Entity
Organization
Contact information
Practice address
43171 DALCOMA DR, SUITE 7, CLINTON TOWNSHIP, MI 48038-6307
(586) 846-3701
Mailing address
43171 DALCOMA DR, SUITE 7, CLINTON TOWNSHIP, MI 48038-6307
(586) 846-3701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101016234
MI
207QA0401X
Addiction Medicine (Family Medicine) Physician
5101016234
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720206600
INDV NPI
MI
01
—
5101016234
STATE LICENSE
MI
Enumeration date
07/24/2012
Last updated
03/07/2023
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