Individual
ANNEMARIE LINDA DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 KIRTS BLVD, TROY, MI 48084-4134
(248) 824-6600
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6600
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
AD054293
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060057218
RAILROAD MEDICARE ID #
MI
05
—
4522040
—
MI
01
—
700E811600
BCBS GROUP PIN
MI
01
—
700H249500
BCBS GROUP PIN
MI
01
—
CG3568
RAILROAD MEDICARE GROUP #
MI
Enumeration date
03/02/2006
Last updated
10/23/2020
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