Mamou, Dany

Mamou, Dany is an individual health care provider with primary practice located at 1717 E Chicago Rd , Sturgis MI 49091-8524. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mamou, Dany can be contacted via phone (269) 659-6747.

Contact Information

Primary practice address
1717 E Chicago Rd Sturgis MI 49091-8524
Phone: (269) 659-6747
Fax: (269) 659-6746
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036142021 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301100135 Michigan

Profile Details

NPI number 1679704100
LBN Legal business name Mamou, Dany
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2009
Last updated May 5th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679704100 NPPES
Illinois Other 036142021 STATE LICENSE

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