Individual
URSULA BAKER-DUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21651 SUSSEX ST, OAK PARK, MI 48237-2611
(313) 574-5891
Mailing address
21651 SUSSEX ST, OAK PARK, MI 48237-2611
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703114905
MI
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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