Doctor Name: | DR. DANIEL HODOR |
NPI Number: | 1134164163 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | DH400204 |
Business Practice Address: | 36622 Green St New Baltimore, MI - 480472538 |
Business Phone Number: | 5867253444 |
Business Fax Number: | |
Mailing Address: | 36622 Green St, NEW BALTIMORE |
State: | MI |
Postal Code: | 480472538 |
Phone Number: | 5867253444 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 02/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | DH400204 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |