Individual
DR. DANIEL J CECCONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
Mailing address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301406044
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2658700
—
MI
05
—
31584900
—
WI
Enumeration date
08/07/2006
Last updated
03/04/2019
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