Provider Demographics
NPI:1881699676
Name:STEWART, DANIEL M (DO)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:M
Last Name:STEWART
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43900 GARFIELD RD
Mailing Address - Street 2:STE 100
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-1137
Mailing Address - Country:US
Mailing Address - Phone:586-286-2544
Mailing Address - Fax:586-286-0534
Practice Address - Street 1:43900 GARFIELD RD
Practice Address - Street 2:STE 100
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-1137
Practice Address - Country:US
Practice Address - Phone:586-286-2544
Practice Address - Fax:586-286-0534
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101006270207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1359481OtherFIRST HEALTH
MI87726OtherUNITED HEALTH CARE
MI98999-2885OtherSMART PLAN
C2720OtherMCARE
MI60305OtherAMERICAN COMMUNITY
MIE25752OtherHAP
98999-2816OtherABS
MI38224OtherALLIANCE HEALTH AND LIFE
MI62308OtherCIGNA
MI95266OtherBEAUMONT HBSDB
MI98999-0936OtherCHAMPUS
MI131448OtherPREFERRED CHOICES
MI37602OtherGOLDEN RULE
MI80705OtherGREAT WEST
MI98999-2669OtherDMC
98999-M116OtherPPOM
DS06270OtherBCBSM OTHER
MI60054OtherAETNA