Individual
DEJUANA MICHELLE STRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-4477
Mailing address
PO BOX 673671, DETROIT, MI 48267-0001
(313) 745-0770
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601004776
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601004776
LICENSE
MI
Enumeration date
07/20/2006
Last updated
10/17/2007
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