Individual
MRS. DONYELLE MOORE-BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18 MARKET ST STE C, MOUNT CLEMENS, MI 48043-7403
(586) 783-2222
(583) 783-6380
Mailing address
6001 W OUTER DR STE 205, DETROIT, MI 48235-2626
(313) 966-9521
(313) 966-9091
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301096977
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09191977
DOB
—
Enumeration date
06/23/2010
Last updated
03/21/2024
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