Provider Demographics
NPI:1366448995
Name:NAVIN, DANIEL MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:MICHAEL
Last Name:NAVIN
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 1:5087 N ROYAL DR STE B
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-6987
Mailing Address - Country:US
Mailing Address - Phone:231-935-0440
Mailing Address - Fax:231-935-0445
Practice Address - Street 1:5087 N ROYAL DR
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-6987
Practice Address - Country:US
Practice Address - Phone:231-935-0440
Practice Address - Fax:231-935-0445
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301069701207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI290009655OtherRAILROAD MEDICARE
MI290B81008OtherBCBS
MI3347820Medicaid
MI3347820Medicaid
MI0M29650004Medicare PIN