Individual
KELSEY DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM CPM
Contact information
Practice address
24418 GREYDALE ST, CLINTON TOWNSHIP, MI 48036-2829
(586) 468-3375
Mailing address
24418 GREYDALE ST, CLINTON TOWNSHIP, MI 48036-2829
(586) 468-3375
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
7601000111
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7601000111
STATE MIDWIFERY LICENSE
MI
01
—
CPM22100123
NORTH AMERICAN REGISTRY OF MIDWIVES
—
Enumeration date
03/06/2023
Last updated
03/06/2023
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