Individual
MRS. KELLY LYNN DOBRZENIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
15125 22 MILE RD, SHELBY TOWNSHIP, MI 48315-4406
(586) 532-0599
(586) 566-8967
Mailing address
15125 22 MILE RD, SHELBY TOWNSHIP, MI 48315-4406
(586) 532-0599
(586) 566-8967
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704271783
MI
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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