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Individual

DANIEL B AZABACHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5671 N SKEEL AVE, OSCODA, MI 48750-1535
(989) 739-2550
(989) 358-3750
Mailing address
5671 N SKEEL AVE, OSCODA, MI 48750-1535
(989) 739-2550
(989) 358-3750

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301084673
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4914101
MI
01
DA084673
BC-BS
MI
Enumeration date
11/17/2005
Last updated
02/26/2015
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