NPIMap

Organization Active NPI

Daniel Kulick DO, P.C.

  • Family Medicine Physician
  • Clinton Township, MI
National Provider Identifier
1316293673
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101016234 Issued in MI
Legal business name
DANIEL KULICK DO, P.C.
Practice address
43171 Dalcoma Dr
Suite 7
Clinton Township, MI 48038-6307
Phone
(586) 846-3701
NPI assigned
Jul 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel Kulick, DONPI 1720206600
Title
President / Physician Owner
Phone
(586) 846-3701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 5101016234 MI Primary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X 5101016234 MI

Addresses

Primary practice location

43171 Dalcoma Dr
Suite 7
Clinton Township, MI 48038-6307

Mailing address

43171 Dalcoma Dr
Suite 7
Clinton Township, MI 48038-6307
Phone (586) 846-3701

Other identifiers 2

IdentifierTypeStateIssuer
1720206600OtherMIINDV NPI
5101016234OtherMISTATE LICENSE

National Provider Directory

National Provider Directory

Locations

43171 Dalcoma Dr
Ste 7
Clinton Twp, MI 48038
Phone (586) 267-1002

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1316293673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43171 DALCOMA DR",
            "address_2": "SUITE 7",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386307",
            "telephone_number": "586-846-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43171 DALCOMA DR",
            "address_2": "SUITE 7",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386307",
            "telephone_number": "586-846-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL KULICK DO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KULICK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT / PHYSICIAN OWNER",
        "authorized_official_telephone_number": "586-846-3701",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101016234",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MI",
            "license": "5101016234",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDV NPI",
            "identifier": "1720206600",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5101016234",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.