Individual
DANIEL JOHN DEWEERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19401 HUBBARD DR, DEARBORN, MI 48126
(800) 653-6568
(313) 982-8668
Mailing address
43065 RIVER BEND DR, PLYMOUTH, MI 48170-3685
(309) 838-0480
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01079524A
IN
207P00000X
Emergency Medicine Physician
Primary
4301114012
MI
Other
Enumeration date
06/25/2015
Last updated
09/04/2018
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