Individual
DOMINIQUE COUTURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2111 WOODWARD AVE STE 920, DETROIT, MI 48201-3421
(313) 488-4332
(313) 488-4332
Mailing address
620 RENSHAW ST, ROCHESTER, MI 48307-2656
(248) 710-7173
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704401139
MI
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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