Individual
DEQUINCY ALLEN HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 RENAISSANCE CTR STE 2600, DETROIT, MI 48243-1502
(313) 412-6788
Mailing address
400 RENAISSANCE CTR STE 2600, DETROIT, MI 48243-1502
(313) 412-6788
(313) 309-7101
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
801761396
NA
MI
Enumeration date
04/09/2020
Last updated
04/09/2020
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