Individual
DR. DENNIS JOHN CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MHA
Contact information
Practice address
1 FORD PL, DETROIT, MI 48202-3450
(248) 270-6938
Mailing address
1 FORD PL, DETROIT, MI 48202-3450
(614) 248-2706
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301111533
MI
2080P0208X
Pediatric Infectious Diseases Physician
35081457
OH
2080P0208X
Pediatric Infectious Diseases Physician
Primary
4301111533
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2347884
—
OH
01
—
CU4087762
MEDICARE OHIO
OH
Enumeration date
07/20/2005
Last updated
12/28/2020
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