Individual
DARYL E WARDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 JOHN ST, STE M124, BRONSON NEUROSCIENCE CENTER, KALAMAZOO, MI 49007-5341
(269) 341-7500
(269) 341-7540
Mailing address
601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
(269) 341-7500
(269) 341-7540
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
18902
ND
207T00000X
Neurological Surgery Physician
Primary
4301087085
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4825217
—
MI
01
—
C2184
RAILROAD MEDICARE
MI
Enumeration date
03/14/2006
Last updated
12/19/2022
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