Individual
MR. DAI TAKAHASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
24 JOLIET ST, DYER, IN 46311-1705
(219) 852-1524
(219) 933-2288
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02004194A
IN
207R00000X
Internal Medicine Physician
47150
WI
208M00000X
Hospitalist Physician
Primary
02004194A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942256540
—
WI
Enumeration date
05/25/2006
Last updated
04/21/2025
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