| Iris B Daniel Md Pc | |
|
42490 Garfield Suite 207 Hyperbaric Medical Center Clinton Township MI 48038 | |
| (586) 263-7900 | |
| (586) 263-0434 |
| Full Name | Iris B Daniel Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 42490 Garfield, Clinton Township, Michigan |
| Authorized Official Name and Position | Iris B Daniel (OWNER PHYSICIAN) |
| Authorized Official Contact | 5862637900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iris B Daniel Md Pc 42490 Garfield Suite 207 Hyperbaric Medical Center Clinton Township MI 48038 Ph: (586) 263-7900 | Iris B Daniel Md Pc 42490 Garfield Suite 207 Hyperbaric Medical Center Clinton Township MI 48038 Ph: (586) 263-7900 |
| NPI Number | 1255421020 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 08/29/2011 |
| Medicare PECOS PAC ID | 3870594963 |
|---|---|
| Medicare Enrollment ID | O20070116000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255421020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Iris B Daniel |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1205840691 PECOS PAC ID: 1951389121 Enrollment ID: I20040713000853 |
| Provider Name | Vasudevarao Mandava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073501821 PECOS PAC ID: 5092899013 Enrollment ID: I20080228000400 |
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