Individual
MRS. CANDACE CHRISTINE DAWISHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3137
Mailing address
6325 GOLDEN LN, WEST BLOOMFIELD, MI 48322-3094
(248) 756-5775
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007334
MI
Other
Enumeration date
05/05/2015
Last updated
01/16/2018
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