Individual
DANE MCNELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 N TELEGRAPH RD, PONTIAC, MI 48341-1032
(800) 231-1127
Mailing address
39314 WANDA AVE, STERLING HEIGHTS, MI 48313-5569
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
2000774
MI
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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