Individual
DAVID A DEGUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1051 NORTH CANTON CENTER RD, CANTON, MI 48187-5097
(734) 844-5400
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301075807
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4629565
—
MI
Enumeration date
10/11/2006
Last updated
09/13/2019
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