Individual
DR. DAN CONSTANTINE DELIGIANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4170 FAIRWAY DRIVE, FORT GRATIOT, MI 48059-3702
(810) 385-8752
(810) 987-4572
Mailing address
616 HURON AVE, PORT HURON, MI 48060-5011
(810) 985-6933
(810) 987-4572
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301042936
MI
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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