Provider Demographics
NPI:1982653218
Name:GECK, DANIEL EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:EDWARD
Last Name:GECK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 APRILL DR
Mailing Address - Street 2:STE 5
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-1956
Mailing Address - Country:US
Mailing Address - Phone:734-661-8100
Mailing Address - Fax:734-661-8101
Practice Address - Street 1:107 APRILL DR
Practice Address - Street 2:STE 5
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-1956
Practice Address - Country:US
Practice Address - Phone:734-661-8100
Practice Address - Fax:734-661-8101
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009102111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI11565652OtherCAQH
MI95-0-H2-2784-0OtherBC/BS
MIV08857Medicare UPIN
MIM85750005Medicare ID - Type Unspecified