Individual
DR. MICHAEL EDWARD DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4727 SAINT ANTOINE ST, STE 304, DETROIT, MI 48201-1461
(313) 745-0499
(313) 833-8801
Mailing address
7148 RELIABLE PKWY, CHICAGO, IL 60686-0071
(248) 792-1779
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
BH26634488101
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164694113
—
MI
01
—
4301090814
LICENSE
MI
Enumeration date
03/31/2008
Last updated
09/10/2012
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