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Individual

DEANA L MCCUTCHEON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1701 SOUTH BLVD E STE 300, ROCHESTER HILLS, MI 48307-6120
(517) 273-4695
(304) 422-3924
Mailing address
3211 DUDLEY AVE, PARKERSBURG, WV 26104-1813
(304) 422-3904
(304) 422-3924

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704317883
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1104813021
NPI
MI
05
2366621
OH
Enumeration date
10/05/2005
Last updated
03/07/2024
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