Individual
DANIEL ALLAN HAMSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
18181 OAKWOOD BLVD, DEARBORN, MI 48124-5032
(313) 593-3733
(248) 982-5425
Mailing address
130 TOWN CENTER DR, SUITE 203, TROY, MI 48084-1744
(248) 585-8265
(248) 585-8266
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4301077751
MI
2085R0001X
Radiation Oncology Physician
Q4421
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346767201
—
TX
05
—
346767202
—
TX
01
—
P01667433
RAILROAD
TX
Enumeration date
08/12/2006
Last updated
10/21/2020
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