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Individual

DANIEL WOODWARD MEAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
32905 W 12 MILE RD STE 410, FARMINGTON HILLS, MI 48334-3346
(248) 957-9148
Mailing address
39500 W 10 MILE RD STE 100, NOVI, MI 48375-2947
(248) 476-0035

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704284763
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704284763
MI

Other

Enumeration date
02/08/2019
Last updated
05/24/2022
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