Individual
DR. LAWRENCE DASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
331 W MAIN ST, HUDSON, MI 49247-1051
(517) 448-2371
(517) 448-7313
Mailing address
818 RIVERSIDE AVE, PO BOX 548, ADRIAN, MI 49221-1446
(517) 265-0229
(517) 265-0829
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301067142
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D66025
BCBS
MI
05
—
340946910
—
MI
01
—
382796005
TAX ID #
MI
Enumeration date
03/20/2006
Last updated
11/03/2023
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