Individual
MICHAEL J. DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39450 W 12 MILE RD, 3RD FLOOR, NOVI, MI 48377-3600
(248) 344-2490
(248) 344-2492
Mailing address
39450 12 MILE ROAD, HENRY FORD HEALTH SYSTEM, NOVI, MI 48377
(248) 344-2490
(248) 344-2492
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
049873
MI
207RP1001X
Pulmonary Disease Physician
Primary
049873
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190257310
—
MI
01
—
290H264420
BLUE CROSS-BLUE CROSS
—
01
—
MD049873
CHAMPUS-CHAMPUS
—
Enumeration date
12/01/2006
Last updated
12/12/2013
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