NPI 1538583703

Andrew Daugherty, MD

Practitioner Dermatology Physician Livonia, MI

Practice location

Address: 37605 Pembroke Ave, Livonia, MI 48152-1050
Phone: (734) 591-7931
Fax: (734) 464-0335
Mailing address: 620 John Paul Jones Cir Naval Medical Center Portsmouth, Portsmouth, VA 23708-2111

Registered specialties (3)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 4301506177 (MI)

Other Dermatology providers in Michigan →

General Practice Physician

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 0101258945 (VA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1538583703
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Feb 2014
Record last updated: 24 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.