Individual
BRIAN WILLIAM DALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2232 S MAIN ST, STE 405, ANN ARBOR, MI 48103-6938
(734) 972-0274
Mailing address
2232 S MAIN ST, STE 405, ANN ARBOR, MI 48103-6938
(734) 972-0274
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901002205
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
5901002205
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598984189
NPI
MI
05
—
1598984189
—
MI
Enumeration date
04/24/2007
Last updated
03/03/2017
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