Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0900X | Dermatopathologist | DD079638 | MI |
NPI | 1578549242 |
---|---|
Provider Name | Daniel C. Dapprich |
First Address | Grand Rapids, MI 49546-6204 |
Second Address | Grand Rapids, MI 49546-6204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2005 |
Last Update Date | 23/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
CG6898 | RAILROAD MEDICARE (01) | MI |