Individual
DANIEL RICHARD TESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
451 HEALTH PKWY, PAW PAW, MI 49079-8242
(269) 657-2550
(269) 657-2285
Mailing address
451 HEALTH PKWY, PAW PAW, MI 49079-8242
(269) 657-2550
(269) 657-2285
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001997
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437131679
—
MI
01
—
700H060020
BCBSM
MI
Enumeration date
11/15/2005
Last updated
03/07/2023
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