Individual
ANDREA KAY DORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-3904
Mailing address
21550 HARRINGTON ST, STE C, CLINTON TOWNSHIP, MI 48036-2362
(313) 343-3904
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704247999
MI
Other
Enumeration date
07/08/2009
Last updated
10/02/2019
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