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Individual

DR. DANIEL DJ MEGLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
21000 E 12 MILE RD, SUITE 111, SAINT CLAIR SHORES, MI 48081-1116
(586) 779-7640
Mailing address
21000 E 12 MILE RD, STE 111, ST CLAIR SHORES, MI 48081
(586) 779-7610
(586) 445-2523

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
DM031809
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
040008565
RAIL ROAD MEDICARE
01
0405032191
BLUE CROSS BLUE SHIELD
01
040E061920
BLUE SHIELD GROUP
MI
01
0503219
BLUE CARE NETWORK
01
102734
CARE CHOICES
01
108447
GREAT LAKES HEALTH
05
1313897
MI
01
2438275001
CIGNA
01
4033125
AETNA
01
B44170
HEALTH ALLIANCE PLAN
01
C4748
MCAR
Enumeration date
09/29/2006
Last updated
05/20/2019
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