Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Daeryl Dave Elgincolin Amponin, MD

Individual provider Emergency Medicine Physician · NPI 1093419301

Dr. Daeryl Dave Elgincolin Amponin, MD is an Emergency Medicine Physician in Lanse, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

18341 US Highway 41
Lanse, MI 49946-8024
Phone: (906) 524-3300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16001 W 9 Mile Rd, Southfield, MI 48075-4818 — (248) 849-5664

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 4351050910 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093419301
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2023
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

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