Individual
DANIEL RICHARD GOTTSCHALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-3300
(810) 765-8169
Mailing address
4266 ARBOUR DR, COMMERCE TOWNSHIP, MI 48390-4100
(248) 960-0429
(810) 765-8169
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
05/25/2006
Last updated
09/10/2013
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