Individual
DR. DANIEL WALTER DIDOCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
40 OAK HOLLOW ST, SUITE 350, SOUTHFIELD, MI 48034-7408
(248) 354-0581
(248) 641-1406
Mailing address
2803 HAVERFORD DR, TROY, MI 48098-5333
(248) 703-9486
(248) 641-1406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101006976
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2112857110
—
MI
Enumeration date
12/27/2006
Last updated
07/08/2007
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