Individual
MRS. COURTNEY E DAMPHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
1365 LAURIER DRIVE, LASALLE, ONTARIO N9J1N-2
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704306826
MI
Other
Enumeration date
10/19/2019
Last updated
02/22/2021
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