Individual
DR. DIMOSTHENIS COSTANTINOS DAFNIS
Active
Individual
DR. DIMOSTHENIS COSTANTINOS DAFNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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