Provider Demographics
NPI:1700867025
Name:HUNT, DANIEL LAURENCE (DO)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:LAURENCE
Last Name:HUNT
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Gender:M
Credentials:DO
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Mailing Address - Street 1:221 W LAKE LANSING RD
Mailing Address - Street 2:STE 300
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-8661
Mailing Address - Country:US
Mailing Address - Phone:517-351-0001
Mailing Address - Fax:517-351-0012
Practice Address - Street 1:221 W LAKE LANSING RD
Practice Address - Street 2:STE 300
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-8661
Practice Address - Country:US
Practice Address - Phone:517-351-0001
Practice Address - Fax:517-351-0012
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2011-06-09
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Provider Licenses
StateLicense IDTaxonomies
MI5101008020208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
1700867025OtherNPI
MI4931720Medicaid
1700867025OtherNPI
MI4931720Medicaid