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Individual

DR. DANIEL JOHN SELLINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2340 E STADIUM BLVD, SUITE 5, ANN ARBOR, MI 48104-4823
(734) 971-7177
(734) 971-7377
Mailing address
984 PRATT RIDGE CT, ANN ARBOR, MI 48103-1402
(734) 763-5082

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
DS001554
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
DS001554
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2805968
MI
01
480024191
RAILROAD MEDICARE
MI
01
4858152110
BLUE CROSS BLUE SHIELD
MI
01
MI2461001
MEDICARE PTAN
MI
Enumeration date
08/30/2006
Last updated
04/07/2010
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