Daniel Anderson, D.O.

Individual Deactivated
NPI 1194949172
Internal Medicine Physician Saint Clair Shores, MI

Daniel Anderson, D.O. holds NPI 1194949172, with a primary taxonomy of internal medicine physician and a practice location in Saint Clair Shores, MI. The number was issued on April 12, 2007 and the NPPES record was last updated on August 16, 2026. The record lists 2 taxonomy codes. This NPI was deactivated on October 1, 2026.

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000X 5101015476 (MI)
Emergency Medicine Physician 207P00000X 5101015476 (MI)

Practice location

23324 Edsel Ford Ct
Saint Clair Shores, MI 48080-2569
Phone: (702) 349-8087

Nearby providers with the same primary taxonomy

Record history

Name on record
Dr. Daniel Scott Anderson
Status
Deactivated
NPI issued
Last updated in NPPES
Deactivated

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NPPES data as of · Source: CMS NPPES

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