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Contact Information

DYLAN R DAUM, DO
205 N EAST AVE
JACKSON, MI49201
 Phone: 517-205-3994
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for DYLAN R DAUM · (Male)

NPI Number 1871084517
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/29/2018
Last updated 05/05/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 5101023868
  • MI License # 5101026697
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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