Individual
OLGA DMITRYUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11480 E 13 MILE RD, WARREN, MI 48093-2566
(586) 216-9253
Mailing address
11480 E 13 MILE RD, WARREN, MI 48093-2566
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024057094
MI
Other
Enumeration date
06/19/2023
Last updated
10/21/2024
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