Individual provider · Type 1 NPI

Daeryl Dave Elgincolin Amponin, MD

Emergency Medicine Physician · Lanse, MI

NPI number 1093419301 Active

Practice location

18341 US Highway 41
Lanse, MI 49946-8024

Other practice locations

  • 1300 Anne St NW, Bemidji, MN 56601-5103 · (218) 751-5430
  • 2401 W University Ave, Muncie, IN 47303-3428 · (765) 747-3111
  • 16001 W 9 Mile Rd, Southfield, MI 48075-4818 · (248) 849-5664
  • 315 W 15th St, Liberal, KS 67901-2455 · (620) 624-1651
  • 299 Kings Daughters Dr, Frankfort, KY 40601-4186 · (502) 875-5240

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X04-54085 (KS)
Emergency Medicine Physician 207P00000X83667 (MN)
Emergency Medicine Physician Primary 207P00000X4351050910 (MI)
Emergency Medicine Physician 207P00000X01101223A (IN)
Emergency Medicine Physician 207P00000X62411 (KY)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

24 other providers at this address

About NPI 1093419301

Daeryl Dave Elgincolin Amponin, MD's National Provider Identifier is 1093419301, issued on Mar 29, 2023. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Lanse, MI. The record was last updated on Oct 28, 2026.