Provider Demographics
NPI:1235355041
Name:DALMAN, HIROKO MORI (MD)
Entity Type:Individual
Prefix:DR
First Name:HIROKO
Middle Name:MORI
Last Name:DALMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HIROKO
Other - Middle Name:LYNN
Other - Last Name:MORI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:61 ROSLYN RD
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48236-1320
Mailing Address - Country:US
Mailing Address - Phone:313-642-0857
Mailing Address - Fax:
Practice Address - Street 1:22101 MOROSS RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48236-2148
Practice Address - Country:US
Practice Address - Phone:313-343-3370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301077415207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOG38196Medicare UPIN