Individual
DANIEL ROBERT FERMAGLICH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 N ELM AVE, JACKSON, MI 49202-3571
(517) 788-6760
(517) 788-3029
Mailing address
PO BOX 67000, DEPARTMENT 272801, DETROIT, MI 48267-2728
(517) 841-6913
(517) 841-6917
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301086739
MI
Other
Enumeration date
04/26/2006
Last updated
07/09/2007
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