Individual
DR. ROBERT L DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4880 CASCADE RD SE, GRAND RAPIDS, MI 49546-3721
(616) 954-9300
(616) 954-9543
Mailing address
4880 CASCADE RD SE, GRAND RAPIDS, MI 49546-3721
(616) 954-9300
(616) 954-9543
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
4301073811
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4097141
—
MI
05
—
4440113
—
MI
Enumeration date
11/02/2005
Last updated
07/09/2007
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