Individual
MRS. JANE RUSSELL DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,NP
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-3966
Mailing address
44649 COPLAND LN, NOVI, MI 48375-1411
(248) 348-7113
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704185488
MI
Other
Enumeration date
05/27/2006
Last updated
08/22/2007
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