Organization
DEANNA S MASTER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEANNA SUSAN MASTER M.D. (PRESIDENT)
(248) 380-2868
Entity
Organization
Contact information
Practice address
24110 MEADOWBROOK RD, SUITE #100, NOVI, MI 48375-3459
(248) 987-1119
(248) 987-1118
Mailing address
46274 PICKFORD ST, NORTHVILLE, MI 48168-1817
(248) 380-2868
(248) 987-1118
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4301059342
MI
Other
Enumeration date
11/14/2013
Last updated
02/19/2014
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