Individual
DENISE DYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15855 19 MILE RD, CLINTON TWP, MI 48038-3504
(586) 236-2601
(586) 263-2589
Mailing address
38935 ANN ARBOR RD, LIVONIA, MI 48150-3354
(734) 632-0175
(734) 632-0182
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704164070
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11712516
CAQH
—
Enumeration date
01/05/2006
Last updated
09/04/2007
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