Doctor Name: | MR. DANIEL PATRICK DEFER |
NPI Number: | 1003870460 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.A.-C |
License Number: | 5601001036 |
Business Practice Address: | 5301 E Huron River Dr Ypsilanti, MI - 481971051 |
Business Phone Number: | 7347125609 |
Business Fax Number: | |
Mailing Address: | 4130 Allen Rd, TECUMSEH |
State: | MI |
Postal Code: | 492869609 |
Phone Number: | 7347125609 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 5601001036 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |