Individual
DEANNA HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1428 S LAPEER RD, LAKE ORION, MI 48360-1437
(248) 693-0543
(248) 630-4301
Mailing address
1428 S LAPEER RD, LAKE ORION, MI 48360-1437
(248) 693-0543
(248) 630-4301
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
4704295183
MI
367A00000X
Advanced Practice Midwife
Primary
4704295183
MI
Other
Enumeration date
06/07/2019
Last updated
10/21/2021
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