Individual
CANDACE DENISE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5816 N SHELDON RD, CANTON, MI 48187-3153
(734) 307-0037
Mailing address
15278 BELMONT AVE, ALLEN PARK, MI 48101-1710
(313) 623-4590
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23201104814
MI
Other
Enumeration date
07/20/2023
Last updated
02/06/2025
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