Organization Name: | DANIEL J SELLINGER DPM PC |
NPI Number: | 1003092289 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL J SELLINGER (OWNER) |
Mailing Address: | 2340 E Stadium Blvd Suite 5 Ann Arbor |
State: | MI US |
Postal Code: | 481044823 |
Phone Number: | 7349717177 |
Fax Number: | 7349717177 |
NPI Enumeration Date: | 01/17/2008 |
NPI Last Update Date: | 04/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | DS001554 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |