Individual
MICHAEL JOHN DANISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-2857
(401) 444-6681
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-2857
(401) 444-6681
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LP03993
RI
Other
Enumeration date
06/07/2017
Last updated
07/21/2022
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