Individual
DR. DAWOOD GHASSAN DALALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS , DO
Contact information
Practice address
33155 ANNAPOLIS ST, WAYNE, MI 48184-2405
(734) 467-4000
Mailing address
3632 PHEASANT RUN, BLOOMFIELD HILLS, MI 48302-1245
(248) 514-8225
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101017324
MI
2086S0102X
Surgical Critical Care Physician
Primary
5101017324
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558568733
—
MI
Enumeration date
06/29/2007
Last updated
02/12/2021
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