Individual
DANIELLE LYNNE HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 COOPER AVE, SAGINAW, MI 48602-5182
(989) 583-0000
Mailing address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4351047695
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/28/2020
Last updated
10/11/2024
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