Individual
DAVID LYNN FALCONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
375 BARCLAY CIR, ROCHESTER HILLS, MI 48307-4511
(248) 852-3636
(248) 852-3631
Mailing address
PO BOX 80070, ROCHESTER, MI 48308-0070
(248) 852-3636
(248) 852-3631
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301036011
MI
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
4301036011
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10-1629605
—
MI
01
—
180F36432
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/13/2005
Last updated
07/08/2008
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