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Individual

DR. DIPAK K DAS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
995 FORD AVENUE, WYANDOTTE, MI 48192
(734) 284-3100
(734) 284-8212
Mailing address
4040 LAKERIDGE LN, BLOOMFIELD HILLS, MI 48302-1622
(248) 538-7722

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DD032902
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1042102110
MI
Enumeration date
01/19/2006
Last updated
07/08/2007
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