Individual
DANA M CLELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
648 SAINT CLAIR ST, GROSSE POINTE, MI 48230-1506
(313) 264-6460
Mailing address
21521 GAUKLER ST, SAINT CLAIR SHORES, MI 48080-1833
(586) 713-5308
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
4704325645
MI
363LG0600X
Gerontology Nurse Practitioner
4704325645
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704325645
MI
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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