Individual
DR. RAMIRO NMN DAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1115 S PENNSYLVANIA AVE, LANSING, MI 48912-1669
(517) 346-4700
(517) 346-4855
Mailing address
1288 SILVERWOOD DR, OKEMOS, MI 48864-3092
(517) 349-3202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301404434
MI
2083X0100X
Occupational Medicine Physician
Primary
4301404434
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03318201082
—
MI
01
—
0803318202
BLUE CROSS
MI
01
—
6600003
PHYSICIAN HEALTH PLANN
MI
Enumeration date
02/01/2007
Last updated
08/20/2009
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