Individual
MR. DANIEL A ILIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6560 RED ARROW HIGHWAY, COLOMA, MI 49038
(269) 468-5775
(269) 468-3447
Mailing address
2560 S CLEVELAND AVE, STE 4, SAINT JOSEPH, MI 49085-2641
(269) 983-1800
(269) 983-1801
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DI009262
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950A101140
BLUE CROSS BLUE SHIELD
MI
01
—
DI009262
STATE LISCENSE NUMBER
MI
Enumeration date
06/12/2007
Last updated
03/15/2017
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