Provider Demographics
NPI:1710967765
Name:MCMURTRIE, DANIEL GEORGE (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:GEORGE
Last Name:MCMURTRIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2119 MELROSE AVE
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-4067
Mailing Address - Country:US
Mailing Address - Phone:734-665-7331
Mailing Address - Fax:734-665-7804
Practice Address - Street 1:4936 W CLARK RD
Practice Address - Street 2:SUITE 100 D
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-0861
Practice Address - Country:US
Practice Address - Phone:734-434-6200
Practice Address - Fax:734-434-7373
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI041197207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology