Individual
PATRICIA A DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15855 19 MILE RD, CLINTON TWP, MI 48038-3504
(248) 421-9457
Mailing address
2699 FOX WOODS LN, ROCHESTER HILLS, MI 48307-5909
(248) 421-9457
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704175870
MI
363LA2100X
Acute Care Nurse Practitioner
4704175870
MI
363LF0000X
Family Nurse Practitioner
Primary
4704175870
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F318190
BCBSM
MI
Enumeration date
02/22/2008
Last updated
03/16/2021
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