Individual
DR. DALTON JUNQUEIRA DE MIRANDA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(231) 487-5868
(231) 487-9803
Mailing address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(231) 487-5868
(231) 487-9803
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301088656
MI
Other
Enumeration date
07/17/2006
Last updated
01/21/2014
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