Individual
DR. DIMOSTHENIS COSTANTINOS DAFNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23 NORTH HANCHETT ST, COLDWATER, MI 49036
(517) 278-3412
(517) 278-6115
Mailing address
23 NORTH HANCHETT ST, COLDWATER, MI 49036
(517) 278-3412
(517) 278-6115
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
430173404
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0530097
IBA
—
01
—
130019309
MEDICARE RAILROAD
MI
01
—
1301Z0059Z
BLUE CROSS
—
Enumeration date
07/06/2006
Last updated
08/24/2010
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