Individual
RENEE DEDENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21885 DUNHAM RD RM 5, CLINTON TWP, MI 48036-1030
(586) 469-5200
Mailing address
18202 WINGATE DR, MACOMB, MI 48042-6209
(586) 469-5200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704147300
MI
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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