Individual
ROBERT PATRICK DAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
755 W CARMEL DR STE 101, CARMEL, IN 46032-5875
(317) 846-2396
(317) 846-1699
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
02006709A
IN
Other
Enumeration date
04/20/2018
Last updated
11/12/2025
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