Provider Demographics
NPI:1609909043
Name:FARKAS, DANIEL H (PHD HCLD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:H
Last Name:FARKAS
Suffix:
Gender:M
Credentials:PHD HCLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 MICHIGAN ST NE STE 580
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-3314
Mailing Address - Country:US
Mailing Address - Phone:616-284-3737
Mailing Address - Fax:616-284-3738
Practice Address - Street 1:301 MICHIGAN ST NE STE 580
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503-3314
Practice Address - Country:US
Practice Address - Phone:616-284-3737
Practice Address - Fax:616-284-3738
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician