Individual
DANIEL DILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2601 ELECTRIC AVE, PORT HURON, MI 48060-6587
(810) 985-1580
Mailing address
18275 PRATT RD, ARMADA, MI 48005-1153
(586) 784-8207
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002794
MI
Other
Enumeration date
03/03/2006
Last updated
07/08/2007
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