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Individual

DR. DANIEL J VERBURG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2390 MITCHELL PARK DR, UNIT D, PETOSKEY, MI 49770-8965
(231) 487-9355
(231) 487-1737
Mailing address
2390 MITCHELL PARK DR, UNIT D, PETOSKEY, MI 49770-8965
(231) 487-9355
(231) 487-1737

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301035417
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0B41179
BCBS MI
MI
01
160046901
RR MEDICARE
MI
01
1602410911
BCBS
MI
01
160B41011
BCBS MI
MI
01
383445481
TAX ID
MI
05
4085801
MI
Enumeration date
03/09/2006
Last updated
08/05/2014
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