Provider Demographics
NPI:1285644229
Name:GARCIA, DANIEL X (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:X
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HERITAGE OAK LN
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-4250
Mailing Address - Country:US
Mailing Address - Phone:269-979-6360
Mailing Address - Fax:269-979-6380
Practice Address - Street 1:2 HERITAGE OAK LN
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-4250
Practice Address - Country:US
Practice Address - Phone:269-979-6360
Practice Address - Fax:269-979-6380
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301052114207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI200010395OtherRR MEDICARE
MI09-31333OtherPHP
MIDG052114OtherSTATE LICENSE NUMBER
MIM10034025OtherCHAMPUS
MI2928046Medicaid
MIB46559Medicare UPIN
MI09-31333OtherPHP