Individual
JEFFREY T DENIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
155 EAGLE RIDGE RD, LAKE ORION, MI 48360-2612
(489) 824-9452
Mailing address
6815 DIXIE HWY STE 1, CLARKSTON, MI 48346-2092
(248) 384-8350
(248) 384-8351
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601005283
MI
Other
Enumeration date
08/14/2008
Last updated
04/09/2024
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