Individual
DONNA DEWYSE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1142 S VAN DYKE RD, BAD AXE, MI 48413-9800
(989) 269-9721
(989) 269-4181
Mailing address
435 W CENTER RD, ESSEXVILLE, MI 48732-9420
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
4704107758
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42-0-87-0485-0
BCBS PIN
MI
Enumeration date
07/13/2005
Last updated
07/08/2007
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