Steven D Daveluy, MD
Dermatology in Dearborn, MI. Individual provider (NPI-1).
NPI number1467611475
StatusActive
Last updated in NPPESDec 7, 2023
Details
- NPI
- 1467611475
- Entity type
- Individual (NPI-1)
- Name
- Steven D Daveluy
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2008
- Certification date
- Dec 7, 2023
- Last updated
- Dec 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 4301092700 | MI | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
18100 Oakwood BlvdSuite 300
Dearborn, MI 48124-4085
Phone 313-240-4900 · Fax 313-429-7931
Mailing address
1560 E Maple RdSuite 400 - Credentialing
Troy, MI 48083-1138
Phone 313-240-4900 · Fax 313-429-7931
Other practice locations
5250 Auto Club Dr Ste 290a
Dearborn, MI 48126-2619
Dearborn, MI 48126-2619
Phone 313-448-9220
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