Individual
MR. DANIEL LEE FINSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A; CCC-SLP
Contact information
Practice address
1701 S 11TH ST, KALAMAZOO, MI 49009-1775
(269) 375-2020
(269) 375-2020
Mailing address
7708 CHIPPEWA ST, PORTAGE, MI 49024-4869
(269) 375-2020
(269) 375-7990
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09149417
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306893805
—
MI
Enumeration date
11/02/2013
Last updated
11/02/2013
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