Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | DS001554 | MI |
N | 213ES0103X | Foot & Ankle Surgery | DS001554 | MI |
NPI | 1487763306 |
---|---|
Provider Name | Dr. Daniel John Sellinger |
First Address | Ann Arbor, MI 48103-1402 |
Second Address | Ann Arbor, MI 48104-4823 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 07/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2805968 | (05) | MI |
480024191 | RAILROAD MEDICARE (01) | MI |
4858152110 | BLUE CROSS BLUE SHIELD (01) | MI |
MI2461001 | MEDICARE PTAN (01) | MI |
U21874 | (02) | MI |