Individual
DR. DANIEL BACAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18181 OAKWOOD BLVD STE 311, DEARBORN, MI 48124
(313) 982-5288
(313) 996-7290
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1863
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301068636
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02-0824130-2
BCBSM INDIVIDUAL PIN#
MI
01
—
020H263670
BCBSM GROUP PIN#
MI
01
—
17431
MCARE INDIVIDUAL PIN#
MI
05
—
4235319
—
MI
Enumeration date
02/15/2006
Last updated
10/22/2020
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