DANIEL GLEN VICKERS

EAST LANSING, MI
NPI1902007644
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: MI  5101016856)
Enumeration Date2007-05-30
Last Update Date2016-04-12
Business Address
MR. DANIEL GLEN VICKERS D.O.
138 SERVICE RD STE D100
EAST LANSING, MI 48824-1313
Phone number: 517-353-5053
Mailing Address
MR. DANIEL GLEN VICKERS D.O.
605 W WESTERN AVE
MUSKEGON, MI 49440-1080
Phone number: 231-722-6005