Provider Demographics
NPI:1801985890
Name:REMINGA, DANIEL L (DPM, PLLC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:L
Last Name:REMINGA
Suffix:
Gender:M
Credentials:DPM, PLLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 MEMORIAL RD
Mailing Address - Street 2:
Mailing Address - City:HOUGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:49931-2435
Mailing Address - Country:US
Mailing Address - Phone:906-482-9950
Mailing Address - Fax:906-487-7796
Practice Address - Street 1:801 MEMORIAL RD
Practice Address - Street 2:
Practice Address - City:HOUGHTON
Practice Address - State:MI
Practice Address - Zip Code:49931-2435
Practice Address - Country:US
Practice Address - Phone:906-482-9950
Practice Address - Fax:906-487-7796
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI0001333213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1662584Medicaid
T33972Medicare UPIN
MI1662584Medicaid
MI0446980001Medicare NSC