Provider Demographics
NPI:1285339606
Name:FERENCE, DAISY A (MD)
Entity type:Individual
Prefix:DR
First Name:DAISY
Middle Name:A
Last Name:FERENCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DAISY
Other - Middle Name:ANNALIESE
Other - Last Name:FERENCE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DAISY A FERENCE, MD
Mailing Address - Street 1:22702 SUMMER LN
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-3648
Mailing Address - Country:US
Mailing Address - Phone:248-921-9557
Mailing Address - Fax:
Practice Address - Street 1:1611 NW 12TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-243-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program