Provider Demographics
NPI:1619984465
Name:HOWELL, DARYL (DPM)
Entity Type:Individual
Prefix:
First Name:DARYL
Middle Name:
Last Name:HOWELL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5500
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48167-5500
Mailing Address - Country:US
Mailing Address - Phone:734-728-4300
Mailing Address - Fax:734-728-4315
Practice Address - Street 1:37382 GLENWOOD DR
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186
Practice Address - Country:US
Practice Address - Phone:734-728-4300
Practice Address - Fax:734-728-4315
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIDH000950213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
5825003Medicare ID - Type Unspecified
T34288Medicare UPIN