Individual
NATHANIEL DEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3000
Mailing address
44405 WOODWARD AVE # H-23, PONTIAC, MI 48341-5023
(248) 858-3234
(248) 858-3244
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5151014564
MI
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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