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MS. CHANNING COREANE ODAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 325-1000
Mailing address
5241 DOHERTY DR, WEST BLOOMFIELD, MI 48323-3413
(248) 342-0074

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1063054
NCCPA CERTIFICATE NUMBER
MI
Enumeration date
05/31/2006
Last updated
03/04/2026
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