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Individual

DR. DANIEL NEILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4201 SAINT ANTOINE ST, 9C UHC, GRADUATE MEDICAL EDUCATION, DETROIT, MI 48201-2153
(313) 745-5147
Mailing address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301101605
MI
2085R0001X
Radiation Oncology Physician
T-2342
MS
390200000X
Student in an Organized Health Care Education/Training Program
4301101605
MI

Other

Enumeration date
07/08/2010
Last updated
11/18/2020
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