Individual
DR. JERRY A DANCIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
32121 WOODWARD AVE 200, ROYAL OAK, MI 48073-0999
(248) 690-9946
(248) 268-3661
Mailing address
32121 WOODWARD AVE 200, ROYAL OAK, MI 48073-0999
(248) 690-9946
(248) 268-3661
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301033510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4095853
—
MI
05
—
4218461
—
MI
Enumeration date
01/25/2006
Last updated
11/12/2015
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