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Individual

DR. DAVIS LEE DALTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2215 44TH ST SW, WYOMING, MI 49519-6439
(616) 252-8300
(616) 252-8341
Mailing address
2122 HEALTH DR SW, SUITE 230, WYOMING, MI 49519-9698

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
5101008097
MI

Other

Enumeration date
01/25/2006
Last updated
06/17/2014
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