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Dr. Daeryl Dave Elgincolin Amponin, MD
Emergency Medicine Physician in Southfield, Michigan
NPI 1093419301

Daeryl Dave Elgincolin Amponin is a Emergency Medicine Physician based in Southfield, MI. Daeryl Dave Elgincolin Amponin practices in Southfield, MI and has the professional credentials of MD. The NPI Number for Daeryl Dave Elgincolin Amponin is 1093419301 and holds a License No. (Michigan).

The current practice location address for Daeryl Dave Elgincolin Amponin is 16001 W 9 Mile Rd, Southfield, MI and can be reached out via phone at 248-849-5664.

Location: 16001 W 9 Mile Rd, Southfield, MI, 48075-4818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093419301
Provider Name
Daeryl Dave Elgincolin Amponin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
16001 W 9 Mile Rd, Southfield, MI, 48075-4818
Phone Number
248-849-5664
Fax Number
Provider Enumeration Date
03/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16001 W 9 Mile Rd
City
Southfield
State
Michigan
Zip
48075-4818
Phone Number
248-849-5664
Fax Number
person
Provider Business Mailing Address Details
Address
16001 W 9 Mile Rd
City
Southfield
State
Michigan
Zip
48075-4818
Phone Number
248-849-5664
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
4351050910 (Michigan)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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