Individual
DANA CHIRICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNIM
Contact information
Practice address
28345 BECK ROAD, STE. 103, WIXOM, MI 48393
(813) 624-3128
Mailing address
28345 BECK ROAD, STE. 103, WIXOM, MI 48393
(813) 624-3128
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4144
ABRET CNIM
—
Enumeration date
06/05/2018
Last updated
09/18/2020
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